宫腔镜注水膨宫下经腹超声评估子宫瘢痕憩室的应用价值

发布时间：2018-02-12 12:35

本文关键词： 剖宫产后子宫切口憩室超声宫腔镜检查　出处：《现代妇产科进展》2017年04期 　论文类型：期刊论文

【摘要】：目的:探讨宫腔镜注水膨宫时经腹超声评估剖宫产术后子宫切口憩室大小、残余肌层厚度的应用价值。方法:选取剖宫产术后出现月经经期改变,伴随月经前后点滴出血的患者37例,同时采用经阴道超声及宫腔镜注水膨宫下经腹超声测量憩室长、宽、高、深及残余肌层厚度,比较两种检测手段对于评估子宫切口愈合情况的优劣。结果:宫腔镜注水膨宫时经腹超声检测憩室长、宽、高各径线均大于普通阴道超声(P0.05),而残余肌层厚度更薄(P0.05)。3例患者普通阴道超声未检测出憩室,而宫腔镜膨宫下能观察到典型的憩室形态。结论:宫腔镜注水膨宫时经腹超声在测量憩室大小的同时能直观地观察憩室内部形态,取得病理,排除子宫内膜其他良恶性病变,与普通经阴道超声相比,能更好地评估憩室。
[Abstract]:Objective: to evaluate the value of transabdominal ultrasound in evaluating the size of uterine incision diverticulum and the thickness of residual myometrium after cesarean section during hysteroscopic dilation of uterus. Methods: menstrual changes were observed after cesarean section. The length, width, height, depth and thickness of residual muscular layer of diverticulum were measured by transvaginal ultrasound and hysteroscopic transabdominal ultrasound. Results: the length and width of diverticulum were measured by transabdominal ultrasound during hysteroscopic dilation of uterus. The height of each diameter was larger than that of normal vaginal ultrasound (P0.05), but the thickness of residual myometrium was thinner than that of P0.050.The diverticulum was not detected by common vaginal ultrasound in 3 patients. The typical diverticulum morphology can be observed under hysteroscopy. Conclusion: transabdominal ultrasound can directly observe the internal shape of diverticulum, obtain pathology, and exclude other benign and malignant lesions of endometrium when hysteroscopic dilatation of uterus is performed, while measuring the size of diverticulum by transabdominal ultrasound, the shape of diverticulum can be observed intuitively. Diverticulum can be better evaluated by transvaginal ultrasound than by conventional transvaginal ultrasound.
【作者单位】：同济大学附属第一妇婴保健院超声影像科;同济大学附属第一妇婴保健院妇产科;
【基金】：上海市科委医学引导类重点项目(No:15411961600)
【分类号】：R445.1;R719.8

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