本文選題：超聲檢查 + 瘢痕子宮��； 參考：《重慶醫(yī)學(xué)》2015年19期

【摘要】：目的探究200例超聲在瘢痕子宮再次妊娠分娩方式選擇的意義。方法選取2010年9月至2013年9月該院接收的200例均有1次剖宮產(chǎn)史的妊娠晚期孕婦進(jìn)行回顧性分析,所有病例均先采取經(jīng)腹部或陰道超聲,再將腹部聯(lián)合陰道超聲檢測(cè),并將聯(lián)合超聲檢測(cè)結(jié)果與剖宮產(chǎn)術(shù)中驗(yàn)證結(jié)果進(jìn)行比較,同時(shí)觀察子宮瘢痕分級(jí)對(duì)其妊娠分娩結(jié)局進(jìn)行觀察對(duì)比。結(jié)果(1)觀察組200例孕婦聯(lián)合超聲檢測(cè)子宮瘢痕顯影率(100.0%)顯著高于單純經(jīng)腹超聲檢測(cè)(92.0%)和單純經(jīng)陰道超聲檢測(cè)(96.5%),差異有統(tǒng)計(jì)學(xué)意義(P0.05);聯(lián)合超聲檢測(cè)子宮瘢痕分級(jí)診斷與術(shù)中驗(yàn)證瘢痕分級(jí)進(jìn)行比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。(2)Ⅱ級(jí)、Ⅲ級(jí)瘢痕組孕婦剖宮產(chǎn)率、術(shù)中出血量及術(shù)后24h出血量均顯著高于Ⅰ級(jí)瘢痕組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論聯(lián)合超聲檢測(cè)能有效提升子宮瘢痕檢測(cè)診斷符合率,明確瘢痕愈合情況有效選擇分娩方式。
[Abstract]:Objective to explore the significance of ultrasound in the choice of delivery mode in the second pregnancy of scar uterus. Methods 200 pregnant women who had a history of cesarean section from September 2010 to September 2013 were analyzed retrospectively. The results of combined ultrasound were compared with the results of cesarean section, and the results of pregnancy and delivery were compared by observing the degree of uterine scar. Results 1) the development rate of uterine scar in observation group (200 cases) was significantly higher than that in abdominal ultrasound (92.0%) and transvaginal ultrasound (96.5%), the difference was statistically significant (P0.05). The grade of scar was compared with that of intraoperative verification. The rate of cesarean section, the amount of intraoperative bleeding and the amount of blood loss at 24 hours after operation were significantly higher in the 鈪，

本文編號(hào)：1866541