经腹部及经阴道超声对剖宫产子宫恢复情况评估的对比分析

Transabdominal and transvaginal ultrasound contrast to cesarean section uterine recovery evaluation analysis

目的对比分析经腹部及经阴道超声两种方法对剖宫产子宫恢复情况的评估。方法两种方法对462例剖宫产术后病例子宫超声表现对比分析。结果经腹部超声诊断子宫复旧良好452例,复旧不良10例;诊断切口愈合良好296例,愈合不佳及不良166例;探测宫腔积液及残留物167例,无宫腔积液及残留物295。经阴道超声诊断子宫复旧良好451例,复旧不良10例;诊断切口愈合良好227例,愈合不佳及不良235例;探测宫腔积液及残留物278例,无宫腔积液及残留物184。结论经阴道超声对剖宫产子宫切口情况及宫腔内情况的观察优于经腹部超声,是产后子宫复查的首选。

Objective Study of transabdominal and transvaginal ultrasound two methods to contrast the uterine recovery section. Methods Analysis of two methods on 462 cases of cesarean section cases of uterine ultrasound contrast. Results Abdominal ultrasound diagnosis of uterine involution good in 452 cases,10 cases were diagnosed subinvolution; incision healed well in 296 cases,166 cases and poor healing of uterine cavity effusion; detection and residues in 167 cases,no uterine cavity effusion and residue 295. Transvaginal ultrasound diagnosis of uterine involution was good in 451 cases,10 cases were diagnosed subinvolution; incision healed well in 227 cases,235 cases and poor healing of uterine cavity effusion; detection and residues in 278 cases,no uterine cavity effusion and residue 184. Conclusion Transvaginal ultrasound of the uterus incision and uterine cavity was superior to abdominal ultrasound,postpartum uterine review is preferred.