摘要
目的探讨经超声生物显微镜在二次剖宫产孕妇皮肤瘢痕组织厚度测量中的临床应用价值。方法选择2014年11月至2016年5月行二次剖宫产手术的孕妇100例作为前瞻性研究的对象。使用超声生物显微镜于孕20~24周、孕24~28周、孕28~32周、孕32~36周和孕36周至产前,分别测量腹部剖宫产切口处皮肤瘢痕组织的厚度,取其平均值(UBM检测结果)。再于二次剖宫产术中切除瘢痕组织,术后经病理显微镜测量其厚度(病理结果),并将其作为标准,评估UBM测量结果的准确性。结果孕20~24周、孕24~28周、孕28~32周、孕32~36周和孕36周至产前的UBM测量结果平均值为(8.55±0.67)mm。术后经病理学显微镜检测,病理结果为(7.89±0.64)mm。与病理结果比较,经超声生物显微镜测量的结果无显著性差异(t=1.994,P>0.05)。结论使用超声生物显微镜对二次剖宫产孕产妇切口处皮肤瘢痕组织的厚度进行测量,其准确性较高。UBM可以作为检测剖宫产后切口处皮肤组织瘢痕厚度的临床手段。
Objective To investigate the clinical application value of the ultrasound biomicroscope in the measurement of the thickness of the skin scar tissue of Second cesarean section. Methods From November 2014 to May 2016 in our hospital,100 cases of Second cesarean section pregnant women were collected as the research object. The ultrasound biomicroscope（ UBM,Ultrasound,biomicroscope） was used in measuring the scar tissue at the times of pregnancy 24 ～ 28 weeks and 28-32 weeks and 32 ～ 36 weeks and 36 weeks-prenatal（ UBM measurements）.And the thickness of the scar tissue（ pathological results） were measured after the operation of second cesarean section by pathological microscope.The accuracy of UBM measurement was evaluated by the standard of pathological results. Results The mean value of UBM measurement result was 8. 55 ± 0. 67 mm,20 ～ 24 weeks,24 ～ 28 weeks,28 ～ 32 weeks,32 ～ 36 weeks of pregnancy and 36 weeks of gestation. The mean value of UBM measurement result was（ 8. 55 ± 0. 67） mm. After surgery,the pathological result was（ 7. 89 ± 0. 64） mm. Compared with the pathological results,the UBM measurement results showed no significant difference（ t = 1. 994,P〈0. 05）. Conclusion The skin scar tissue of second cesarean section can be measured precisely by ultrasound biomicroscope. UBM can be used as a clinical tool for the detection of scar formation in the skin after cesarean section.
出处
《临床和实验医学杂志》
2017年第20期2044-2047,共4页
Journal of Clinical and Experimental Medicine
基金
2016年度河北省医学科学研究重点课题计划项目(编号:20160033)
关键词
剖宫产
瘢痕厚度
超声生物显微镜
Caesarean section
Scar thickness
Ultrasound biomicroscope
