CAJ | 학술논문

目的：探讨超声检查在瘢痕子宫妊娠分娩方式选择中的价值。方法选取本院2014年9月~2015年4月收治的100例瘢痕子宫再次妊娠患者作为研究对象，全部患者均进行经腹部联合经阴道超声检查，分析其子宫瘢痕部位的妊娠超声声像图。结果40~41周时的平均子宫下段厚度显著薄于孕周不足38周时的子宫下段厚度，差异有统计学意义(P<0.05)。玉级瘢痕患者的自然分娩率显著高于域级和芋级瘢痕患者，剖宫产率显著低于域级和芋级瘢痕患者，差异有统计学意义(P<0.05)。域级瘢痕患者的自然分娩率显著高于芋级瘢痕患者，剖宫产率显著低于芋级瘢痕患者，差异有统计学意义(P<0.05)。结论超声检查在瘢痕子宫妊娠分娩方式选择中的价值突出，可为瘢痕子宫妊娠患者对于分娩方式的选择提供理论依据，值得临床推广使用。
목적：탐토초성검사재반흔자궁임신분면방식선택중적개치。방법선취본원2014년9월~2015년4월수치적100례반흔자궁재차임신환자작위연구대상，전부환자균진행경복부연합경음도초성검사，분석기자궁반흔부위적임신초성성상도。결과40~41주시적평균자궁하단후도현저박우잉주불족38주시적자궁하단후도，차이유통계학의의(P<0.05)。옥급반흔환자적자연분면솔현저고우역급화우급반흔환자，부궁산솔현저저우역급화우급반흔환자，차이유통계학의의(P<0.05)。역급반흔환자적자연분면솔현저고우우급반흔환자，부궁산솔현저저우우급반흔환자，차이유통계학의의(P<0.05)。결론초성검사재반흔자궁임신분면방식선택중적개치돌출，가위반흔자궁임신환자대우분면방식적선택제공이론의거，치득림상추엄사용。
Objective To explore the value of ultrasound examination in mode choice of scar uterine pregnancy child-birth. Methods 100 patients with scar uterus pregnancy again from September 2014 to April 2015 in our hospital were selected as the research objects.All patients were conducted with abdomen combined transvaginal ultrasound.The preg-nancy ultrasound sonograms of uterine scar parts were analyzed. Results The average thickness of the lower uterine segment from 40 to 41 weeks was thinner than that less than 38 weeks,with significant difference (P<0.05).The rate of natural delivery in patients with gradeⅠscar was higher than that in patients with gradeIIand gradeⅢscar,the rate of cesarean section was lower than that in patients with gradeIIand gradeⅢscar,with significant difference (P<0.05).The rate of natural delivery in patients with gradeIIscar was higher than that in patients with gradeⅢ scar,the rate of ce-sarean section was lower than that in patients with gradeⅢscar,with significant difference (P<0.05). Conclusion Ultrasound examination has outstanding value in mode choice of Scar uterine pregnancy childbirth,which can provide theoretical basisfor scar uterus pregnancy patients in the choice of delivery mode,it is worthy of clinical promotion and application.