摘要
目的：应用Ｂ超对阴道分娩及剖宫产术后子宫复旧、宫腔及切口情况进行探讨分析。方法：对临床疑有胎儿附属物残留及产后有发热、腹痛、阴道流血增多或时间延长的６８例剖宫产术后及１４１例阴道分娩后子宫进行Ｂ超观察。结果：两组子宫复旧程度无差异，但高于同期子宫复旧标准；宫腔积血、产后感染剖宫产组高于阴道分娩组，而组织残留以阴道分娩组为高。对各型声像图特点进行了描述。结论：Ｂ型超声可辨别产后子宫复旧不良、宫腔积血、胎儿附属物残留及产后感染，对指导临床治疗及其效果的观察具有一定的价值。
To ctudy the involution of the uterus,the conditions of the uterus cavity and the incision after vaginal delivery or caesarean birth. Methods: 68 caesarean births and 141 vaginal deliveries with the doubt of fetus remains, tever, abdominal pain, more or longer vagina bleeding, were observed. Results: There is no difference in the uterus involution between the two groups, but compared with the records made by the other observers , there more unusual cases . The incidence of blood remains in the uterus and postpartum infection is higher in the caesarean birth group while the incidence of tissue remains is higher in the vaginal delivery group . conclusions: Ultrasound can be used to discover subinvolution, blood remains in uterus cavity, fetus remains or postpartum infection. It is helpful for the clinical treatment and the observation of the treating process.
关键词
剖宫产
阴道分娩
子宫
超声学
Caesarean birth
Vaginal delivery
Uterus, Ultrosound
