CAJ | 학술논문

目的探讨剖宫产术后子宫切口愈合不良的声像图表现.方法应用B超监测30例剖宫产术后子宫切口的愈合情况.结果根据声像图特点将子宫切口愈合情况分类:I类子宫切口呈平行或弧状强回声带为愈合良好;Ⅱ类子宫切口呈实质性非均质性回声团或无回声区为主的混合性回声团为子宫切口炎性反应,26例(86.7%);Ⅲ类子宫切口区局部中断,内见斑片状强回声,边缘明显增厚,突向膀胱,附件区可及形态不规则,非均质性实质性包块伴无回声,为子宫局部裂开,溃疡形成伴附件炎性渗出,4例(13.3%).结论 B超能够监测剖宫产术后子宫切口愈合不良的情况,为临床提供依据,对防治晚期产后出血等并发症具有重要的临床价值.
목적 탐토부궁산술후자궁절구유합불량적성상도표현.방법 응용B초감측30례부궁산술후자궁절구적유합정황.결과 근거성상도특점장자궁절구유합정황분류:I류자궁절구정평행혹호상강회성대위유합량호;Ⅱ류자궁절구정실질성비균질성회성단혹무회성구위주적혼합성회성단위자궁절구염성반응,26례(86.7%);Ⅲ류자궁절구구국부중단,내견반편상강회성,변연명현증후,돌향방광,부건구가급형태불규칙,비균질성실질성포괴반무회성,위자궁국부렬개,궤양형성반부건염성삼출,4례(13.3%).결론 B초능구감측부궁산술후자궁절구유합불량적정황,위림상제공의거,대방치만기산후출혈등병발증구유중요적림상개치.
Objective To explore the ultrasonic images of the uterus incision of abdominal delivery healed in poor condition.Methods Monitor the uterus incisions of 30 cases after abdominal delivery with B-Ultrasound.Results Divide the uterus incisions into 3 groups according to the characteristics of their ultrasonic images:Group Ｉ had parallel or arc-like incisions with hyperecho,which led to good curation.Group Ⅱ had mixed echo mass of inhomogenous echo mass or no echo area,which meant incision inflammation(26cases,86.7%).Group Ⅲ had break-up incisions,patch-like hyperecho,thickened boder to bladder,irregular adnexal area and inhomogenous mass without echo,which led to uterus rupture and ulcer formation with phlogistic exudation.(4 cases,13.3%).Conclusions B-Ultrasound can monitor uterus incision of abdominal delivery healed in poor condition and provide clinical direction to prevent complications such as postpartum Hemorrhage.