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目的探讨孕晚期子宫瘢痕彩色多普勒超声(彩超)评估对再次剖宫产术的意义。方法2011年8～11月某院行剖宫产的孕妇228例,无剖宫产史孕妇120例,瘢痕子宫108例,应用彩超监测观察组孕晚期子宫瘢痕表现,将子宫瘢痕愈合分成2组,观察各组术中出血情况。结果瘢痕愈合良好组术中平均出血量与愈合不良组比较差异有统计学意义(P﹤0.01)。结论孕足月子宫瘢痕彩超评估为瘢痕子宫患者行再次剖宫产选择最佳手术时机,并在术前预防性采取相应措施,减少产后出血,这对预测先兆子宫破裂,积极保留子宫的生育功能具有重要意义。
Objective To investigate the significance of color Doppler ultrasonography (color Doppler ultrasound) evaluation of cesarean section in third trimester pregnancy. Methods 228 cases of cesarean section in a hospital from August to November 2011 were included. There were 120 pregnant women without history of cesarean section and 108 cases of uterine scar. The uterus scar was observed in the observation group by color Doppler ultrasonography. The uterine scar was divided into two groups The bleeding in each group was observed. Results The average hemorrhage volume in the group with good scar healing was significantly lower than that in the poor healing group (P <0.01). Conclusion Pregnancy full-term uterine scar ultrasound assessment of scarring patients with uterine cesarean delivery again choose the best timing of surgery, and prophylactic preoperative measures to reduce postpartum hemorrhage, which predict the prognosis of uterine rupture, and actively retain the reproductive function of the uterus It is of great significance.