新式剖宫产术后子宫复旧及子宫切口愈合情况的B超监测

B-ultrasonic observation of uterine involution and uterus incision after new method cesarean section

目的 观察新式剖宫产子宫复旧和子宫切口愈合情况。方法 两组各 1 50例 ,观察组行新式剖宫产术 ,对照组行传统子宫下段剖宫产术。于术后 7天、30天分别行盆腔B超检查观察子宫复旧及子宫切口愈合情况。结果 两组病例术后 7天、30天子宫各径线大小无显著差异 (P >0 0 5) ;对照组术后 30天宫腔积液发生率显著高于观察组 (P <0 0 5) ;观察组术后 30天子宫切口回声区域的纵径显著小于对照组 (P <0 0 5) ;观察组术后 30天子宫切口A型愈合率显著高于对照组 ( P <0 0 5)。结论 新式剖宫产术因子宫切口局部缝线少、异物反应小、吸收快 ,是有利于子宫复旧和子宫切口愈合的手术方式。

Objective To observe the uterine involution and uterus incision after new method section.Methods 150 new method sections(study group)were compared with 150 traditional low segment cesarean section(control group). 7 days and 30 days after cesarean section, the uterine involution and uterus incision were observed by B-ultrasound. Results There was no significant difference in the uterus size between the two groups on the 7th and 30th day after cesarean section, the rate of the occurence of liquid area in uterus cavity was significantly lower in the study group than that in the control group(P<0 05). Ordinate of echo area in uterus incision in the study group was significantly lower than that in the control group(P<0 05) and the rate of cicatrization of uterus incision in type A was significantly higher in the study group than that in the control group(P<0 05) on the 30th day after cesarean section.Conclusion The new method cesarean section is helpful to the uterine involution and the healing of uterus incision due to its less suture and rapid absorption.