B超对剖宫产术后子宫切口愈合观察的初步探讨

Study of Ultrasonography on Observing Uterine incision Recovery after Cesarean Section

采用B超对72例剖宫产术后27～79天的子宫切口进行观察。按B超图像特征将子宫切口愈合情况分为愈合与未愈合两种类型。将产妇按是否存在感染、贫血、妊高征分为正常组与异常组。结果表明:B超图像可较准确地反映子宫切口的愈合状况,且同期正常组愈合率均高于异常组,差异有显著性意义。研究证明:B超可作为剖宫产术后子宫切口愈合监测的理想方法。强调术后预防感染、纠正贫血和低蛋白血症对子宫切口如期愈合的重要性。

Uterine incision in 72 women o.n 27-79 days after cesarean section was investigated by ultrasonography. According to ultrasonographic results, uterine incisions were divided into healed type and unhealed type. On the basis of presence of infection, anaemia or pregnancy-induced hypertension, .patients Were classified into normal and abnormal groups. Theresults demonstrated that ultrasonography may accurately show healing of incision. In the same period healing incidence of normal group was higher than abnormal group. After cesarean section ultrasonographic examination was best method for monitoring uterine incision. It was suggested that prevention of infection, and correcting anaemia and hypoproteinemia were very important in uterine healing.