200例超声在瘢痕子宫再次妊娠分娩方式选择的意义

发布时间：2018-05-09 15:24

  本文选题：超声检查 + 瘢痕子宫　； 参考：《重庆医学》2015年19期

【摘要】：目的探究200例超声在瘢痕子宫再次妊娠分娩方式选择的意义。方法选取2010年9月至2013年9月该院接收的200例均有1次剖宫产史的妊娠晚期孕妇进行回顾性分析,所有病例均先采取经腹部或阴道超声,再将腹部联合阴道超声检测,并将联合超声检测结果与剖宫产术中验证结果进行比较,同时观察子宫瘢痕分级对其妊娠分娩结局进行观察对比。结果(1)观察组200例孕妇联合超声检测子宫瘢痕显影率(100.0%)显著高于单纯经腹超声检测(92.0%)和单纯经阴道超声检测(96.5%),差异有统计学意义(P0.05);联合超声检测子宫瘢痕分级诊断与术中验证瘢痕分级进行比较,差异无统计学意义(P0.05)。(2)Ⅱ级、Ⅲ级瘢痕组孕妇剖宫产率、术中出血量及术后24h出血量均显著高于Ⅰ级瘢痕组,差异有统计学意义(P0.05)。结论联合超声检测能有效提升子宫瘢痕检测诊断符合率,明确瘢痕愈合情况有效选择分娩方式。
[Abstract]:Objective to explore the significance of ultrasound in the choice of delivery mode in the second pregnancy of scar uterus. Methods 200 pregnant women who had a history of cesarean section from September 2010 to September 2013 were analyzed retrospectively. The results of combined ultrasound were compared with the results of cesarean section, and the results of pregnancy and delivery were compared by observing the degree of uterine scar. Results 1) the development rate of uterine scar in observation group (200 cases) was significantly higher than that in abdominal ultrasound (92.0%) and transvaginal ultrasound (96.5%), the difference was statistically significant (P0.05). The grade of scar was compared with that of intraoperative verification. The rate of cesarean section, the amount of intraoperative bleeding and the amount of blood loss at 24 hours after operation were significantly higher in the 鈪，

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