阴道分娩后B超动态监测宫腔情况并行早期干预治疗对减少产妇宫腔残留的作用

Effect of monitoring uterine cavity condition by dynamic B-ultrasound combined with early intervention therapy after vaginal delivery on reducing uterine cavity residue

目的探讨阴道分娩后B超动态监测宫腔情况并行早期干预治疗对减少产妇宫腔残留的作用。方法回顾性分析2021年6月至2023年6月于三门峡市中心医院VIP病区接受阴道分娩产妇的病历资料,将2021年6月至2022年6月经阴道分娩的70例产妇纳入对照组,将2022年7月至2023年6月经阴道分娩的70例产妇纳入观察组。对照组接受产后常规方案干预,观察组应用B超动态监测宫腔情况并行早期干预治疗。对比两组患者出院时宫腔残留发生情况、宫腔残留严重程度(残留物大小、子宫内膜厚度)和分娩后1个月内产后不良事件发生情况。结果出院时,观察组宫腔残留物发生率(31.43%,22/70)低于对照组(57.14%,40/70),P<0.05;观察组残留物大小、子宫内膜厚度均小于对照组(P均<0.05)。观察组产后不良事件发生率(2.86%,2/70)与对照组(8.57%,6/70)比较差异未见统计学意义(P>0.05)。结论分娩后应用B超动态监测宫腔情况并行早期干预治疗可明显降低出院时宫腔残留发生率,且可降低宫腔残留严重程度,效果确切。

Objective To investigate the effect of monitoring uterine cavity condition by dynamic B-ultrasound combined with early intervention therapy after vaginal delivery on reducing uterine cavity residue.Methods The medical records of postpartum women who experienced vaginal delivery in the VIP ward of Sanmenxia Central Hospital from June 2021 to June 2023 were retrospectively analyzed.Seventy postpartum women with vaginal delivery from June 2021 to June 2022 were included in the control group,and 70 postpartum women with vaginal delivery from July 2022 to June 2023 were included in the observation group.The control group received routine postpartum intervention,while the observation group were given early intervention therapy combined with B-ultrasound dynamic monitor of the uterine cavity.The incidence of uterine cavity residue at discharge,the severity of uterine cavity residue assessed by residue size and endometrial thickness,and the incidence of postpartum adverse events within 1 month after delivery were compared between the two groups.Results At discharge,the incidence of uterine cavity residue in the observation group(31.43%,22/70)was lower than that in the control group(57.14%,40/70),P<0.05.The residual size and endometrial thickness of the observation group were smaller than those of the control group(P<0.05).There was no statistically significant difference in the incidence of postpartum adverse events between the observation group(2.86%,2/70)and the control group(8.57%,6/70),P>0.05.Conclusions Early intervention therapy combined with monitoring uterine cavity condition by dynamic B-ultrasound after delivery can significantly reduce the incidence of uterine cavity residue at discharge,and reduce the severity of uterine cavity residue,with a definite effect.