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超声检查瘢痕子宫下段对分娩方式的影响 被引量:2

Effect of Ultrasonography Detection of Lower Segment of Scarred Uterus on Delivery Mode
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摘要 目的探讨单纯腹部B超以及腹部B超+阴道B超用于检查瘢痕子宫下段的差异,并分析其对分娩方式的影响。方法选择我院收治的90例瘢痕子宫再次妊娠产妇为研究对象,按照超声检查方法的不同分为两组各45例。对照组进行腹部B超检查,观察组应用腹部B超+阴道B超检查,观察比较两组的诊断结果以及分娩方式。结果观察组的子宫下段瘢痕显示清晰比例、妊娠晚期子宫愈合良好比例、妊娠晚期子宫瘢痕缺陷符合率与对照组比较,有明显差异(P<0.05)。Ⅰ级瘢痕阴道分娩成功率最高,为44.44%。结论超声检查瘢痕子宫下段操作简单,准确有效,可为瘢痕子宫妊娠产妇选择分娩方式提供科学依据。 Objective To explore the differences of simple abdominal B ultrasound and abdominal B ultrasound combined with vaginal B ultrasound in detecting the lower segment of scarred uterus, and to analyze the impact on the delivery mode. Methods 90 cases of patients with scarred uterus pregnancy in our hospital were selected as research objects, and equally divided into two groups according to the ultrasonic detection methods. The control group received abdominal B ultrasound examination, and the observation group received abdominal B ultrasound combined with vaginal 13 ultrasound examination. The diagnostic results and delivery mode were compared between two groups. Results Statistical differences was found between two groups in the proportion of clear display of scar in lower segment, proportion of good healing of uterus in late pregnancy, and coincidence rate of uterine scar defect in late pregnancy (P〈0.05). Grade | scar has the highest success rate ofvaginal delivery, accounted for 44.44%. Conclusions Ultrasonography detection for lower segment of scarred uterus is easy to operate, accurate and effective, which can provide scientific basis for the choice of delivery mode of scarred uterus pregnancy.
作者 黄荣 郑文淋
出处 《临床医学工程》 2018年第2期147-148,共2页 Clinical Medicine & Engineering
关键词 超声检查 瘢痕子宫下段 分娩方式 Ultrasonography detection Lower segment of scarred uterus Delivery mode
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