剖宫产术后子宫与腹壁粘连的超声诊断探讨

Cesarean section after the operation the abdominal wall and uterus adhesion of ultrasonic diagnosis to discuss

目的探讨应用超声诊断剖宫产术后子宫与腹壁粘连的声像图特点和形成过程。方法选择剖宫产术后子宫与腹壁粘连患者29例,分析子宫与腹壁的粘连的形态、部位以及子宫体、子宫峽部、宫颈的长度改变等超声声像特征,并与30例剖宫产后无子宫腹壁粘连患者进行对照。结果剖宫产术后子宫与腹壁粘连的声像图特征为子宫前壁部分平行紧贴腹壁或局部呈"锥形"前凸于腹壁,部分声像表现腹壁呈部分"断裂样"改变。粘连部位宫体前壁与腹壁紧贴或嵌入,粘连部位下方宫体或峽部悬吊于腹壁,子宫峽部、宫体、宫颈长度明显大于对照组。结论超声诊断剖宫产后子宫与腹壁粘连准确、可靠,具有较高的临床诊断价值。能明确定位子宫被粘连的部位,子宫体、峽部的长度,对再次剖宫产或子宫相关手术,计划生育手术,宫内诊疗等具有较高临床意义。

Objective To discuss cesarean delivery after the operation the abdominal wall and uterus adhesion of ultrasonographic characteristics and forming process.Methods Choice of 29 patients with abdominal wall and uterus adhesion after cesarean section operation,Analysis of the abdominal wall and uterus adhesion of shape and place,and The uterus,uterine isthmus,cervical length change of ultrasonographic characteristics,And compared with 30 cases of patients with non abdominal wall of the uterus adhesion cesarean section were compared.Results Cesarean delivery after the operation the abdominal wall and uterus adhesion of ultrasonographic characteristics Performance for the Uterine wall before part parallel to the abdominal wall or part of a'cone'lodosis in the abdominal wall,Part of ultrasonography of abdominal wall was'fault'change.Adhesion of palace body anterior wall and abdominal wall attached to or embedded.Adhesion parts from below or spondylolysis before hanging in the abdominal wall,The uterus,uterine isthmus,cervical length significantly greater than the control group.Conclusion Ultrasound diagnosis of abdominal wall and uterus adhesion cesarean section are accurate and reliable,Have high clinical diagnostic value.Can be the part of the adhesion clear positioning of the uterus,The length of the uterine body,spondylolysis,The cesarean section or uterine surgery again,Family planning operation,Intrauterine diagnosis etc,Has a high clinical significance.