论文部分内容阅读
目的 :探讨妊娠期子宫破裂诊断时采用超声检查技术的临床价值。方法 :研究时期为2013年12月至2016年12月,共选择孕妇27例,经临床确诊均为子宫破裂。均在出现症状后采用超声检查技术进行诊断,记录各类子宫破裂症状的发生几率,同时采用外科手术治疗,分析漏诊的原因。结果 :经超声检查后27例孕妇均确诊为子宫破裂,其中完全破裂者共12例(44.44%)、不完全破裂者共15例(55.56%),1例患者在首次检查时被误诊为先兆流产,经保胎治疗后无效,二次检查时确诊为子宫破裂。发生部位位于子宫下段者共20例、子宫腔内者4例、子宫底部者3例。经手术治疗后无孕妇切除子宫,完全破裂孕妇中胎儿死亡5例、存活7例;不完全破裂孕妇胎儿均成活。结论 :使用超声检查诊断妊娠期子宫破裂的效果较好,能够为手术治疗节省更多时间。
Objective: To investigate the clinical value of ultrasonography in the diagnosis of uterine rupture during pregnancy. Methods: The study period was from December 2013 to December 2016. A total of 27 pregnant women were selected. All the patients were diagnosed as uterine rupture. After the symptoms were diagnosed by ultrasound, recording the incidence of various types of uterine rupture symptoms, while the use of surgical treatment, analysis of the causes of missed diagnosis. Results: Twenty-seven pregnant women were diagnosed as uterine rupture by ultrasound examination. Among them, 12 cases (44.44%) were completely ruptured and 15 cases (55.56%) were incomplete rupture. One patient was misdiagnosed as a precursor Abortion, invalid after treatment of miscarriage, the second examination was diagnosed as uterine rupture. Occurred in the lower part of the uterus in a total of 20 cases, 4 cases of uterine cavity, the bottom of the uterus in 3 cases. After surgical treatment of pregnant women without uterine resection, complete rupture of fetal death in 5 cases, survived in 7 cases; incomplete rupture of fetal mothers were alive. Conclusions: The use of ultrasonography to diagnose gestational uterine rupture is better and can save more time for surgery.