论文部分内容阅读
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(P<0.05),而残余肌层厚度更薄(P<0.05)。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。
Objective: To evaluate the value of transabdominal hysteroscopic uterine incision diverticula size and remnant myometrial thickness after transabdominal sonographic evaluation. Methods: Thirty-seven patients who had menstrual menstruation after cesarean section with drip bleeding before and after menstruation were selected. The length, width, height, depth and remnant of diverticulum were measured by transvaginal ultrasound and transabdominal sonography under hysteroscopy Myometrial thickness, the comparison of two detection methods for the evaluation of the advantages and disadvantages of uterine incision healing. Results: The length, width and height of diverticula were significantly higher than those of normal vaginal ultrasound (P <0.05). The thickness of remnant myometrium was thinner (P <0.05). Three cases of patients with normal vaginal ultrasound did not detect diverticulum, and hysteroscopy can be observed under a dilated typical diverticulum morphology. Conclusions: When hysteroscopic irrigating uterus, transabdominal sonography can observe the size of diverticulum directly and observe the internal morphology of diverticulum directly to obtain the pathology, and exclude other benign and malignant lesions of the endometrium. Compared with ordinary transvaginal sonography, Evaluation of diverticulum.