彩色超声对剖腹产术后子宫切口愈合情况观察

Color Doppler ultrasound on the healing of uterine incision after caesarean section observation

目的：应用彩色超声观察剖腹产后子宫切口愈合情况。方法：随机抽样对640例剖宫产术后5—9天子宫切口进行观察。结果：根据声像图特点，将子宫切口愈合情况分类：I类子宫切口呈稍隆起或孤状强回声带为愈合良好，CDFI未见异常，这类患者有588例（占91．88％）。Ⅱ类子宫切口明显隆起，呈实性非均质回声，CDFI可见点状血流信号，这类患者有29例（占4．5％）。Ⅲ类子宫切口肌壁间血肿形成，CDFI可见丰富血流信号，这类患者有13例（占2％）。IV类子宫切口内个可见局限性包块，CDFI可见丰富的血流信号，这类患者有16例（占2．5％）。结论：彩色超声能够监测剖宫产术后的子宫切口愈合情况，为临床提供依据，对防治剖宫产术后晚期出血等并发症具有重要的临床价值。

Objective： To observe the color ultrasound uterine incision healing after cesarean section. Methods： A random sample of 640 cases of uterine incision after cesarean section were observed 5--9 days. Results： According to sonographic characteristics of the uterine incision healing Cate- gory： I type of uterine incision was slightly hyperechoic arc--shaped bulge or with good for healing, CDFI no exception, these patients 588 cases （accounting for 91.88 %）. Class II uterine incision significantly elevated, in solid heterogeneous echo, CDFI visible point--like blood flow, these patients, 29 patients （4.5%）. Class III intramural uterine incision hematoma formation, CDFI rich blood flow signals can be seen, these patients, 13 patients （2%）. Class IV shows the limitations of the uterine incision in a mass, CDFI rich blood flow signals can be seen, these patients, 16 patients （2.5 %）. Conclusion, The color ultrasound to monitor the uterine incision healing after cesarean section cases, provide the basis for clinical, prevention and treatment of late hemorrhage and other complications after cesarean section has important clinical value.