妊娠子宫破裂的超声诊断价值

The ultrasonic diagnosis value of pregnant uterine rupture

目的:探讨妊娠子宫破裂的超声影像学特点及诊断价值。方法:回顾性分析我院收治的12例妊娠子宫破裂患者的资料。结果:本组12例病例中,妊娠子宫完全性破裂8例,妊娠子宫不完全性破裂3例,超声误诊1例,超声诊断符合率为91.7%,所有病例均经手术证实。结论:超声作为一种无创伤性检查方法,对妊娠子宫破裂的诊断有较高的特异性,在妊娠子宫破裂的病例中,应用超声可明确有无穿孔、穿孔的部位、大小以及腹腔积液的情况,对临床诊断及治疗提供十分重要的指导价值。

Objective： To investigate the ultrasonic diagnosis value and its characteristics of pregnant utenne rupture. Methods： Retrospectively analyzed the data of 12 patients with pregnant uterine rupture in our hospital. Results： Among 12 cases of tiffs group, complete ruptures of the pregnant uterus were in 8 cases, imcomplete rupture 3 cases, supersonic misdiagnoses 1 case, the diagnostic accuracy rate of ultrasound was 91.7%, all cases were confirmed by surgical operation. Conclusion： As a noninvasive method for the diagnosis of uterine rupture pregnancy, ultrasound has higher specificity. The application of ultrasound in pregnant uterine rupture will not only definite the situations of perforation, perforation of the location, size and abdominal plot fluid, but also provide an important guide in the clinical diagnosis and treatment.