| 摘要: |
| 目的：探讨彩色多普勒超声监测子宫瘢痕缺陷对再妊娠风险评估的价值。方法：选择2016年1月~2017年4月本院收治的子宫瘢痕再妊娠患者138例为研究对象,所有患者均行彩色多普勒超声检查对瘢痕进行分级,比较不同瘢痕分级患者分娩出血情况、分娩中缩宫素用量、子宫破裂发生率、严重感染发生率、子宫前壁下段厚度及分娩方式。结果：本研究中138例患者,子宫瘢痕超声检查为I级82例(59.42%),II级30例(21.74%),III级21例(15.22%),IV级5例(3.62%),子宫瘢痕缺陷的发生率40.58%(56/82)；子宫前壁下段厚度I级组＞II级组＞III级组＞IV级组,组间比较差异有统计学意义(P＜0.05)；分娩过程出血量、缩宫素用量及子宫破裂、严重感染、分娩后子宫出血等并发症发生率I级组＜II级组＜III级组＜IV级组,组间比较差异有统计学意义(P＜0.05)；阴道分娩率I级组＞II级组＞III级组和IV级组,组间比较差异有统计学意义(P＜0.05)。结论：超声检测子宫瘢痕缺陷能够预测分娩中出血、子宫破裂及严重感染等情况,有助于瘢痕子宫再妊娠风险的评估,为科学选择分娩方式提供依据。 |
| 关键词: 子宫瘢痕 超声 再次妊娠 风险评估 |
| DOI： |
| 投稿时间：2017-06-11修订日期：2017-10-17 |
| 基金项目: |
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| Ultrasound monitoring of the defects of the uterine scar on the risk assessment of re-pregnancy |
| Zhou ping |
| () |
| Abstract: |
| Objective: To explore the value of color doppler ultrasonography monitoring uterine scar on the evaluation of risk of re-pregnancy risk. Methods: The 138 case patients with uterine scar pregnancy again as the research object that who were treated in our hospital from January 2016 to April 2017, all patients were screened with color doppler ultrasound and to grade the scar, to compared the different scar levels of patients that which the blood loss during delivery, oxytocin dosage during delivery, incidence of uterine rupture, serious infection rates, thickness of the anterior wall of the uterus and delivery way. Results: The 138 case patients of uterine scar for grade I stage 82 cases (59.42%), II stage 30 cases (21.74%), III stage 21 cases (15.22%), IV stage 5 cases (3.62%), uterine scar defect rate was 40.58% (56/82); The thickness of the anterior wall of the uterus of I stage group > II stage group > III stage group > IIV stage group, were statistically significant (P<0.05); During delivery of blood loss, oxytocin dosage and uterine rupture, severe infection, uterine bleeding after childbirth of I stage group < II stage group < III stage group < IIV stage group, compare the difference between groups was statistically significant (P<0.05); The vaginal delivery rate of I stage group > II stage group > III stage group and IIV stage group, were statistical significance (P<0.05). Conclusion: Ultrasonic testing of uterine scar defects can predict bleeding, uterine rupture and severe infection in childbirth, etc., is helpful to assessment of the risks of scar uterus pregnancy again, provide the basis for scientific choose childbirth way. |
| Key words: Uterine scar Ultrasound Pregnancy again Risk assessment |
