多层螺旋CT诊断产后子宫破裂的临床价值

The clinical value of multi-slice Spiral CT in diagnosis of post-partum uterine rupture

目的探讨多层螺旋CT诊断产后子宫破裂临床价值。方法分析2008年1月～2009年1月行MSCT检查诊断产后子宫破裂患者,共5例均作CT平扫,其中3例行增强扫描,将5例患者MSCT诊断结果与临床手术及超声检查结果比较。5例患者均曾行1～3次超声检查,其中2例曾行彩超检查;3例行MSCTA检查后行手术治疗,1例行子宫全切术,2例行修补术,2例行药物保守治疗,1例治疗后MSCT复查。结果 5例MSCT诊断为产后子宫破裂的患者中,手术证实3例,经临床药物保守治疗证实2例。超声提示肌层回声不均匀2例,混合回声2例,产后子宫未见异常1例。结论 MSCT诊断产后子宫破裂准确率较高,特征明显,在产后子宫破裂诊断方面MSCT比超声检查更具价值,MSCT检查可以作为临床疑似产后子宫破裂患者的检查方法,是超声检查及临床普通检查方法的一大补充。

Objective To explore the clinical value of multi - slice Spiral CT in diagnosis of post - natal uterine rupture. Methods 5 patients were underwent by MSCT plain scan suspected of post - partum uterine rupture, three of them were also taken contrast - enhanced CT scan, The CT appearances of uterine rupture were compared with ultrasound. Results The diagnosis of 5 patients as post - partum uterine rupture by MSCT were eomfirmed by surgery in three cases and conservatively clinical treatment in two cases. Conclusion CT in diagnosis of post - partum uterine rupture with distinct feature gets high accuracy. MSCT would be a means for patients suSpected of post - partum uterine rupture.