摘要
目的：为了解剖宫产术后子宫切口的生理与病理愈合过程，对９６例Ｂ超观察剖宫产术后子宫及切口的声像图进行分析。方法：将Ｂ超声像图特点、部分晚期出血病例治疗前后Ｂ超连续观察结果结合临床征象、化验检查、再次手术中的肉眼所见及病理结果综合评价。结果：正常情况术后３１～５０天，８０％以上的子宫切口已达到基本愈合，表现为由“基本愈合”到“愈合佳”的进展过程。子宫切口未愈合的声像图包括子宫切口“未完全愈合”与子宫切口“愈合欠佳”两种声像图，均为感染所致的病理性愈合图像，前者为感染的急性期，随着炎性渗出和血管外膜出血显示不均匀光斑和相间的液性暗区为“愈合欠佳”图像。结论：Ｂ超是判断剖宫产术后子宫复旧与切口愈合的很好辅助诊断工具，感染是导致子宫切口愈合不良和愈合延迟的主要原因。
Objective:In order to evaluate the
healing coruse in physiology and pathology,the author analyses 96 cases of the ultrasonic
images about uterine incising after cesarean section.Methods:Analyses and evaluates
synthetically the characteristics of the ultrasonic images,and result of the clinic and
test.Results:Under normal condition over eighty percent of the uterine incision were healed
after operation in 30～50 days.At the same time,the course from essential to complete healing
was shown.The ultrasonic images of unhealed incision include uncompleted heal ones and bad
healed ones.Infection is the main reason about above mentioned
conditions.Conclusion:Ultrasonic B is a good auxiliary clinical implement with which we judge
the healing condition of the uterine incision after operation.Infection is the important cause of
the bad healed uterine incision and deferrable healed.
出处
《河北医药》
CAS
1999年第2期68-70,共3页
Hebei Medical Journal
关键词
B超
子宫切口
愈合
剖腹产
诊断
Ultrasonic B Cesarean section
Healing of uterine incision Infection
