摘要
目的探讨阴道超声检查对剖宫产术后子宫切口憩室的诊断价值。方法回顾性分析9例剖宫产术后子宫切口憩室患者的临床表现及阴道超声声像图特征。结果本组患者剖宫产术后出现异常阴道出血、经期延长及经血淋漓不尽。阴道超声检查显示:9例子宫切口憩室患者的子宫前壁下段肌层内于宫颈内口附近形成楔型或囊状无回声区,长5～14 mm,宽3～7 mm,一端楔入肌层内,一端与宫腔相通。结论剖宫产术后常规行阴道超声检查子宫切口情况,对于早期发现子宫切口憩室具有重要的临床价值。
Objective To evaluate the clinical value of transvaginal sonography in diagnosis and treament of uterine incision diverticulum in patients with histories of cesarean section. Methods The clinical manifestations and transvaginal sonographic features were analyzed retrospectively in 9 patients with post - cesarean uterine incision diverticulum. Results Abnormal vaginal bleeding occurred in this group after cesarean section, with bradymenorrhea and endless menstrual blood. Vaginal ultrasound examination showed that in 9 patients echo free zones shaped as ＂ Wedge＂ or ＂ saceate＂ formed near internal orifice of u- terus in inferior segment muscular layer of anterior uterine wall, 5 ~ 14 mm long, 3 -7 mm wide, with 1 end wedged in muscular layer and 1 end connected with uterine cavity. Conclusion Conventional virginal ultrasound of post - cesarean uterine incision is of very important clinical value in early diagnosis of uterine incision diverticulum.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第20期2288-2289,共2页
Chinese General Practice
关键词
剖宫产术
憩室
超声检查
多普勒
经阴道
Cesarean section
Diverticulum
Ultrasonography, Doppler, transvaginal
