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剖宫产术后子宫切口愈合不良11例分析 被引量:2

Abnormal healing of uterine incision after cesarean section:Ana lysis of 11 cases
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摘要 目的:探讨剖宫产术后子宫切口愈合不良的相关因素、诊治方法、预防措施.方法:对我院2002~2004年收治的剖宫产术后子宫切口愈合不良的临床资料进行回顾性分析.结果:11例中以产程停滞或延长作为剖宫产指征7例(63%).临床表现主要为产后出血和感染.B超下表现为低或无回声光团为主的混合性光团.以手术治疗为主.结论:产程停滞或延长、子宫切口位置选择不当是影响切口愈合的主要因素.术后可以利用B超早期诊断.加强产时监护、提高产科质量是预防的根本措施. Objective: To explore the causes, diagnosis, treatment and prevention of the uterine incision abnormal healing after caesarian section, Methods: The data of 11 cases of uterine incision abnormal healing after caesarian section from 2002 to 2004 were analyzed retrospectively. Results: Of the 11 cases, 7 of the cesarean section indications were prolonged labor (63%), The clinical manifestations were late postpartum hemorrhage and infection. B-Ultrasonography revealed a complex light mass with low echo or anechoic area in the 11 patients. All were treated by operation. Conclusions:The main factors affecting the healing of uterine incision are prolonged labor and the type of uterine section. B-Ultrasoncography can help early diagnosis. The radical prevention is to strength monitoring and improve the obstetric level.
作者 何玉 张彦君
出处 《蚌埠医学院学报》 CAS 2005年第5期402-403,共2页 Journal of Bengbu Medical College
关键词 剖宫产术 子宫切口 愈合不良 caesarian section, uterine incision abnormal healing
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