经阴道彩超评价剖宫产术后子宫切口愈合情况的临床研究

Clinical Study on Evaluating Wound Healing of Uterine Incision after Hysterotomy by Transvaginal Color Doppler Sonography

目的:研究剖宫产术后子宫切口愈合的超声特征,评价经阴道彩超诊断子宫切口愈合不良的临床价值。方法:对598例剖宫产术后的病例行经阴道彩超检查,观察产后5 d^7 a子宫切口愈合超声学特征并分型。结果:根据声像图特点,将子宫切口愈合情况分愈合良好及愈合不良。愈合不良分为五型:Ⅰ型:缝隙样暗带伴钙化斑型(19.9%);Ⅱ型:圆形、条形及不规则液区型(37.9%);Ⅲ型:团块型(32.8%);Ⅳ型:团块伴缝线吸收不良型(7.1%);Ⅴ型:腺肌症团块型(2.3%)。结论:经阴道超声能动态观察子宫切口的变化,是诊断子宫切口愈合不良的一种无创、简便、准确的检查方法,具有重要临床价值。

Objective：To study the ultrasonogram characteristics of the uterus incision wound healing after hysterotomy and to evaluate the clinical value for diagnosis of uterus incision healing in poor condition by Transvaginal Color Sonography. Methods： 598 cases after hysterotomy from 5 days to 7 years were examined by Transvaginal Color Sonography and the ultrasonic characteristics were analyzed later. Results： According to the ultrasonogram, all eases were divided into two groups ：good condition group and poor condition group. The last group was divided into five types： I .hypoeehoie band with calcification（19.9%）, Ⅱ .effusion that was round in shape,strip-shaped or irregular（37.9%）, Ⅱ .simple mass （32.8 % ） Ⅳ , mass with poor absorption of suture （7.1%）, V . mass of adenomyosis （2.30%）. Conclusions： As a non-invaslve,easy,and accurate examination method,Transvaginal Color Sonography can dynamically monitor the changes of uterus incision,it is important to diagnose uterus incision healing in poor condition after hysterotomy.