不完全纵膈子宫中晚期妊娠超声检查的临床诊断价值

Clinical Diagnostic Value of ultrasonography for Incomplete Mediastinal Uterus in Middle and Late Pregnancy

目的:评估不完全纵膈子宫中晚期妊娠患者实施超声检查的临床诊断价值。方法:将2018年4月至2019年4月北镇市妇幼保健计划生育服务中心诊治的45例不完全纵膈子宫中晚期妊娠患者纳入本研究,所有患者均予行超声检查,讨论其超声诊断结果与优势。结果:45例患者中,经由超声诊断确诊为不完全纵膈子宫患者共计43例,准确率为95.56%。超声声像图可见其宫腔上段横截面为“哑铃状”有38例,占比84.44%,患者子宫纵膈上部与宫底子宫肌层可见加厚现象,其厚度为2.2~5.3 mm,厚度均值是(3.47±0.61)mm。宫底部胎盘增厚或变形患者12例,占比26.67%。所有不完全纵膈子宫中晚期妊娠患者中,13例患者正常分娩,占比28.89%;余下32例均为剖宫产分娩,占比71.11%。共计42例患者胎位异常,占比93.33%,其中胎儿横位23例,占比51.11%;胎儿臀围9例,占比20.00%。结论:不完全纵膈子宫中晚期妊娠患者通过超声检查的准确度较高。

Objective To evaluate the clinical diagnostic value of ultrasonography in patients with incomplete mediastinal uterus in mid and late pregnancy.Methods From April 2018 to April 2019,45 patients with middle and late pregnancy of incomplete mediastinal uterus diagnosed and treated by Beizhen maternal and child health and family planning service center were included in this study.All patients were examined by ultrasound,and the results and advantages of ultrasound diagnosis were discussed.Results Among the 45 patients,43 patients with incomplete mediastinal uterus were diagnosed by ultrasound,and the accuracy rate was 95.56%.The ultrasonic image showed that the cross section of the upper segment of the uterine cavity was"dumbbell"in 38 cases,accounting for 84.44%.The myometrium of the upper part of the uterine mediastinum and the uterine fundus was thickened,with a thickness of 2.2~5.3 mm,and the average thickness was(3.47±0.61)mm.There were 12 patients with thickening or deformation of placenta at the bottom of uterus,accounting for 26.67%.Among all the patients with incomplete mediastinal uterus in the middle and late pregnancy,13 patients delivered normally,accounting for 28.89%;The remaining 32 cases were delivered by cesarean section,accounting for 71.11%.There were 42 cases with abnormal fetal position,accounting for 93.33%,including 23 cases with transverse fetal position,accounting for 51.11%;Fetal hip circumference was 9 cases,accounting for 20.00%.Conclusion The accuracy of ultrasonography in patients with incomplete mediastinal uterus in middle and late pregnancy is high.