摘要
目的研究彩色多普勒超声对子宫瘢痕情况的评价及妊娠相关指导。方法选取2019年1月至2019年12月于本院就诊的瘢痕子宫妊娠患者157例作为研究组,同时选取同期60名正常妊娠者作为对照组。对研究组患者进行子宫瘢痕愈合分级,测量各组子宫前壁下段厚度,统计各组分娩方式和妊娠结局。结果研究组中子宫瘢痕缺陷42例,瘢痕愈合良好115例,子宫瘢痕缺陷患者瘢痕厚度明显低于子宫瘢痕愈合良好患者(P<0.05)。研究组患者子宫前壁下段肌层厚度明显低于对照组(P<0.05)。研究组剖宫产率明显高于对照组(P<0.05)。研究组瘢痕缺陷剖宫产率明显高于愈合良好患者(P<0.05)。两组患者产后出血、子宫不完全破裂和新生儿窒息等发生率比较差异均有统计学意义(P<0.05)。结论子宫瘢痕愈合良好再次妊娠患者采用阴道分娩可改善母婴结局,而瘢痕愈合不良者会增加新生儿窒息、产后出血和子宫破裂风险,高频彩超检查可指导选择正确分娩方式,准确评估子宫瘢痕愈合情况,保证母婴安全。
Objective To study the color Doppler ultrasound evaluation of uterine scar and significance of pregnancy-realted guidance.Methods 157 patients with scar uterine pregnancy who were treated in our hospital from January 2019 to December 2019 were selected as the study group,and 60 normal prengancies at the same time were selected as the control group.The patients in the study group were graded for uterine scar healing,the thickness of the lower anterior wall of the uterus in each group was measured,and the delivery methods and pregnancy outcomes of each component were counted.Results In the study group,42 patients had uterine scar defects,and 115 patients had good scar healing.The scar thickness of patients with uterine scar defect was significantly lower than that of patients with good uterine scar healing(P<0.05).The thickness of the lower segment of the anterior uterine wall in the study group was significantly lower than that in the control group(P<0.05).The cesarean section rate of the study group was significantly higher than that of the control group(P<0.05).The cesarean section rate of scar defect in the study group was significantly higher than that of patients with good healing(P<0.05).There was significant difference in the incidence of postpartum hemorrhage,incomplete rupture of uterus and neonatal asphyxia between the two groups(P<0.05).Conclusion Uterine scars heal well and re-prengancy patients with vaginal delivery can improve maternal and infant outcomes,while those with poor scar healing can increase the risk of neonatal asphyxia,postpartum hemorrhage,and uterine rupture.High-frequency color Doppler ultrasound can guide the selection of the correct delivery method and accurately assess uterine scar healing circumstances to ensure the safety of mothers and infants.
作者
刘杰
王贝朵
杨茹
LIU Jie;WANG Beiduo;YANG Ru(Department of Ultrasound,Rushan Hospital of Chinese medicine of Shandong Province,Rushan,Shandong,264500,China;Department of Internal Medicine,Rushan Hospital of Chinese medicine of Shandong Province,Rushan,Shandong,264500,China)
出处
《当代医学》
2021年第10期63-65,共3页
Contemporary Medicine
关键词
彩色多普勒超声
子宫瘢痕
剖宫产
子宫破裂
Color Doppler ultrasound
Uterine scar
Cesarean section
Uterine rupture
