超声诊断剖宫产术后相关腹壁病变

Value of ultrasonography in diagnosis of abdominal wall diseases after cesarean section

目的探讨超声对剖宫产术后相关腹壁病变的诊断价值。方法回顾性分析47例剖宫产术后腹壁切口处不适并触及肿物患者的超声资料,记录病灶位置、形态、大小、边界、内部回声、坏死液化或钙化情况以及病变区血流信号。结果超声诊断21例为腹壁切口子宫内膜异位症,9例为炎性肉芽肿,7例为腹壁韧带样纤维瘤,4例为腹壁血肿,3例为脂肪液化,另3例为腹壁切口疝。结论超声对剖宫产术后相关腹壁病变的诊断与鉴别诊断具有重要价值。

Objective To observe the value of ultrasonography in diagnosis of abdominal wall diseases after cesarean section.Methods Ultrasonic images of 47 patients with malaise and palpable mass at incision after cesarean section were analyzed retrospectively.The position,morphology,size,boundary,internal echo,necrosis and liquification,calcification of lesions,and blood flow signal of lesion areas were recorded.Results Ultrasound detected 21 cases of abdominal incision endometrial endometriosis,9 cases of inflammatory granuloma,7 cases of abdominal wall desmoid tumor,4 cases of abdominal wall hematoma,3 cases of fat liquefaction and 3 cases of abdominal incisional hernia.Conclusion Ultrasonography has important value in diagnosis and differential diagnosis of abdominal wall diseases after cesarean section.