超声诊断在剖宫产术后再次妊娠风险评估中的应用

Application of Ultrasonography Diagnosis in Risk Assessment of Second Pregnancy After Cesarean Section

目的探讨超声诊断在剖宫产术后再次妊娠风险评估中的作用。方法选取2019年1—12月医院接收的剖宫产术后再次妊娠孕妇130例为观察组,另选取同时期自然分娩后再次妊娠孕妇130例作为对照组。采用超声诊断评估观察组的妊娠风险。结果观察组超声诊断出瘢痕妊娠3例,胎盘植入2例,子宫不完全破裂1例,子宫破裂1例,诊断符合率为97.69%。观察组子宫下段肌层厚度明显低于对照组,其差异具有统计学意义(P<0.05)。结论对剖宫产术后再次妊娠孕妇及早行超声诊断,可对妊娠风险进行判断,及时发现并发症,为临床治疗提供依据,帮助改善母婴结局。

Objective To explore the role of ultrasonography in the risk assessment of second pregnancy after cesarean section.Methods 130 cases of second pregnancy after cesarean section received by our hospital from January to December 2019 were selected as the observation group,and another 130 cases of second pregnancy after natural delivery in the same period were selected as the control group.The risk of pregnancy in the observation group was assessed by ultrasonography.Results In the observation group,there were 3 cases of scar pregnancy,2 cases of placenta implantation,1 case of incomplete uterine rupture and 1 case of uterine rupture,and the diagnostic coincidence rate was 97.69%.The thickness of the myometrium in the observation group was significantly lower than the control group(P<0.05).Conclusion Ultrasound diagnosis can be used to determine the risk of pregnancy in women with second pregnancy after cesarean section,and help to find complications in time,and provide basis for clinical treatment,in order to improve the outcome of mother and baby.