摘要
目的探讨超声造影评估剖宫产后子宫瘢痕愈合不良的临床效果。方法选择2019年10月至2021年4月该院经常规超声检查诊断为剖宫产后子宫瘢痕愈合不良患者13例,对常规超声、超声造影的声像学特征进行分析。结果13例患者常规超声检查结果均提示剖宫产后子宫瘢痕愈合不良,其中实性非均质性回声(Ⅱ型)8例(61.54%),肌层回声中断(Ⅲ型)5例(38.46%)。13例患者超声造影检查结果:1例(7.69%)表现为子宫下段肌层等灌注,可见线样低灌注区(Ⅰ型);12例(92.31%)表现为子宫下段见与宫腔相通的无灌注区(Ⅲ型)。12例剖宫产后子宫瘢痕愈合不良患者中,超声造影、常规超声测量的子宫瘢痕愈合不良累及范围中位数分别为0.84(0.59~1.69)、0.76(0.45~1.32)cm 3,二者比较差异无统计学意义(P>0.05)。结论超声造影可显示剖宫产后子宫瘢痕血流灌注情况,准确评估剖宫产后子宫瘢痕愈合状况,其适用于常规超声表现Ⅱ型声像改变的剖宫产后子宫瘢痕愈合不良患者。
Objective To explore the clinical effect of ultrasonic contrast in evaluating the poor uterine scar healing after cesarean section.Methods 13 patients diagnosed with poor uterine scar healing after cesarean section by routine ultrasound in this hospital from October 2019 to April 2021 were selected,and the ultrasonographic characteristics of routine ultrasound and ultrasonic contrast were analyzed.Results The results of routine ultrasound examination in 13 patients showed that the uterine scar after cesarean section was poorly healed,including 8 cases(61.54%)of solid heterogeneous echo(typeⅡ)and 5 cases(38.46%)of myometrial echo interruption(typeⅢ).The results of ultrasonic contrast examination in 13 patients were as follows:1 case(7.69%)showed equal perfusion in the lower segment of the uterus,with linear low perfusion area(typeⅠ);12 cases(92.31%)showed non-perfusion area connected with the uterine cavity in the lower segment of the uterus(typeⅢ).Among the 12 patients with poor uterine scar healing after cesarean section,the median of poor uterine scar healing coverage range measured by ultrasonic contrast and routine ultrasound was 0.84(0.59-1.69)and 0.76(0.45-1.32)cm 3 respectively,with no statistically significant difference(P>0.05).Conclusion Ultrasonic contrast can show the blood flow perfusion of uterine scar after cesarean section and accurately evaluate the healing of uterine scar after cesarean section.It is suitable for patients with poor uterine scar healing after cesarean section who show typeⅡultrasound changes on routine ultrasound.
作者
梁志刚
刘祝
席雯
高毅
肖雁冰
LIANG Zhigang;LIU Zhu;XI Wen;GAO Yi;XIAO Yanbing(Department of Gynecology,Zunyi Maternal and Child Health Hospital,Zunyi,Guizhou 563000,China)
出处
《现代医药卫生》
2023年第6期943-946,共4页
Journal of Modern Medicine & Health
基金
贵州省遵义市科学技术局科技计划项目(遵市科合社字〔2018〕216号)。
关键词
剖宫产
子宫瘢痕愈合不良
常规超声
超声造影
Cesarean section
Poor uterine scar healing
Routine ultrasound
Ultrasonic contrast
