不同分娩方式对子宫复旧影响的B超观察

Observation of B-ultrasound in uterine involution with different delivery modes

目的:通过B超诊断方法探讨不同分娩方式对子宫修复影响的差异性,以期为妇科临床研究提供参考依据。方法:2012年2月-2013年12月收治在本院接受分娩的产妇200例,根据患者选择的术式将其分为剖宫产组和阴道分娩组,于产后1周及产后6周对产妇进行B超检查,观察其子宫形态、大小、宫腔及子宫切口情况。结果:剖宫产组47例产妇中,子宫修复不良12例(25.53%),宫腔积血8例(17.02%);阴道分娩组子宫修复不良18例(11.76%),宫腔积血9例(5.88%),两组该2项指标差异比较,均具有统计学意义(P<0.05);剖宫产组切口愈合欠佳3例(6.38%),发生子宫与腹壁粘连3例(6.38%)。结论:剖宫产对于产后子宫复旧会产生一定的消极影响,临床施行剖宫产术前应当严格掌握手术指征,以减少产后子宫修复不良、宫腔积血及子宫愈合欠佳的发生率。

Objective:To investigate the different effect on uterine involution with different delivery modes using the diagnosis method of B-ultrasound,so as to provide reference for the clinical study of gynecological.Methods:200 maternal who admitted our hospital to give birth were selected from February 2012 to December 2013.They were divided into the cesarean section group and vaginal delivery group according to the operation mode they selected.All of them were examined for B ultrasound at 1 weeks postpartum and 6 weeks postpartum,to observe the morphology,size of uterus,uterine cavity and uterine incision situation.Results:Among 47 cases of the cesarean section group,12 cases(25.53%) with bad repaired uterine,and 8 cases(17.02%) with uterine bleeding;while in the vaginal delivery group,there were 18 cases(11.76%) of bad repaired uterine,and 9 cases(5.88%) with uterine bleeding,therefore,the differences in those two indicators were statistically significance between two groups(P<0.05).There were3 cases(6.38%) with poor healing of incision in the cesarean section group,and 3 cases(6.38%) with in uterine and abdominal wall adhesions.Conclusion:Cesarean section will produce some negative effects for postpartum uterine involution.We should strictly master surgical indications before application of cesarean section in clinical,in order to reduce bad postpartum uterine repair and uterine bleeding,to reduce the rate of poor uterine healing.