【摘要】：目的探討剖宮產(chǎn)術后子宮下段切口瘢痕缺損的超聲診斷標準。方法經(jīng)陰道超聲必要時結合腹部超聲及CDFI對46例經(jīng)手術證實子宮下段剖宮產(chǎn)切口瘢痕缺損的超聲聲像圖表現(xiàn)作回顧性分析,總結其診斷標準。結果在46例經(jīng)手術證實子宮下段剖宮產(chǎn)切口瘢痕缺損的病例中,28例缺損處剩余肌層厚度≤2.5 mm,18例缺損處剩余肌層厚度2.5~4.0 mm之間。缺損處剩余肌層厚度≤2.5 mm患者癥狀相對較明顯,病情較重,應引起臨床重視,病情不斷加重時,要及時手術修復。缺損處剩余肌層厚度2.5~4.0 mm之間的患者,癥狀多不明顯,病情相對較輕,可以保守治療,定期復查。結論超聲檢查能清晰顯示剖宮產(chǎn)術后切口瘢痕缺損的形態(tài)、回聲、位置、大小及缺損處剩余肌層厚度,并動態(tài)觀察治療效果,具有重要的臨床價值。
[Abstract]:Objective to investigate the ultrasonic diagnostic criteria of scar defect in lower uterine incision after cesarean section. Methods Transvaginal ultrasound combined with abdominal ultrasound and CDFI were used to analyze retrospectively the ultrasonographic findings of 46 cases of scar defect in lower uterine cesarean section proved by operation, and the diagnostic criteria were summarized. Results in 46 cases of scar defect of cesarean incision of lower uterine segment proved by operation, the thickness of residual muscle layer in 28 cases of defect was less than 2.5 mm,18 and the thickness of residual muscular layer of defect was between 2.5 mm and 4.0 mm. The patients with the thickness of residual muscle layer 鈮，

本文編號：2383618