[1]王新彦,冀涛*,李洪霞.经腹及经阴道超声联合检查监测瘢痕子宫下段连续性及其对临床分娩的指导意义[J].中国计划生育和妇产科,2018,(11):75-78.
　WANG Xin-yan,JI Tao*,LI Hong-xia.Transabdominal and transvaginal ultrasound combined monitoring to monitor the continuity of scar uterus and its guiding significance for clinical delivery[J].Chinese Journal of Family Planning & Gynecotokology,2018,(11):75-78.
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经腹及经阴道超声联合检查监测瘢痕子宫下段连续性及其对临床分娩的指导意义
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年11期
页码:
75-78
栏目:
论著与临床
出版日期:
2018-11-25

文章信息/Info

Title:
Transabdominal and transvaginal ultrasound combined monitoring to monitor the continuity of scar uterus and its guiding significance for clinical delivery
作者:
王新彦; 冀涛*; 李洪霞
沧州市妇幼保健院产一科
Author(s):
WANG Xin-yan;  JI Tao*;  LI Hong-xia
Department of Obstetrics,Cangzhou Women and Children’s Health Care Hospital,Cangzhou Hebei 061001,P.R.China
关键词:
经腹超声; 经阴道超声; 瘢痕子宫; 临床分娩
Keywords:
transabdominal;  transvaginal;  scarred uterus;  clinical delivery
分类号:
R 714.2
摘要:
目的研究经腹及经阴道超声联合检查监测瘢痕子宫下段连续性及其对临床分娩的指导意义。方法选取2015年6月至2016年6月沧州市妇幼保健院收治的120例瘢痕子宫再次妊娠晚期患者作为研究对象，按照随机数表法分成两组，每组60例。对照组给予经腹超声检查，研究组给予经腹超声联合阴道检查，观察比较两组患者手术前后切口愈合情况以及瘢痕显示率、子宫下段厚度情况、分娩情况、并发症发生情况及各项指标（缩宫素用量、术中出血量、术后出血量）等。结果两组患者瘢痕分级比较，差异有统计学意义（P<005）。研究组瘢痕显示率（967 %）明显高于对照组（600 %）；不同分级的瘢痕患者子宫下段厚度有明显差异，研究组子宫下段厚度明显低于对照组，差异有统计学意义（P<005）；术中，研究组缩宫素用量及术中出血量［（432±135）u、(2634±643）mL］低于对照组［（764±154)u、(3413±984）mL］（P<005），术后出血量及术后出血率［（1325±435）mL、83 %］低于对照组［（2624±548）mL、217 %］，差异均有统计学意义（P<005）。研究组阴道分娩率（650 %）高于对照组（450 %），并发症发生率（50 %）低于对照组（200 %），差异均有统计学意义（P<005）。结论经腹及经阴道超声联合检查可以更加有效地监测妊娠晚期患者瘢痕子宫的肌层状况，更清晰地了解患者切口愈合情况，降低患者不良反应发生率，对判断患者是否可以经阴道分娩有重要的参考价值。
Abstract:
ObjectiveTo study transabdominal and transvaginal ultrasound combined monitoring of the continuity of the scar uterus and its guiding significance for clinical delivery.Methods120 cases of scar uterus and third trimester of pregnancy admitted to Cangzhou Women and Children’s Health Care Hospital from June 2015 to June 2016 were selected as the study subjects, and divided into two groups according to the random number table method, with 60 cases in each group. The control group was given transabdominal ultrasonography, and the study group was given transabdominal ultrasound combined with vaginal examination. The wound healing and the rate of scar display, the thickness of the lower uterus, the condition of delivery, the incidence of complications, and various indicators (the amount of oxytocin, the amount of intraoperative blood loss, and the amount of postoperative bleeding) were recorded. The results were compared and analyzed.ResultsThere were significant differences in scar classification between the two groups, and the difference was statistically significant(P<005). The scar display rate of the study group (967 %) was significantly higher than that of the control group (600 %). The thickness of the lower uterus of the patients with different grades of scar was significantly different. The thickness of the lower uterus of the study group was significantly lower than that of the control group(P<005); During the operation, the amount of oxytocin and the intraoperative blood loss ［(432±135)u,(2634±643)mL］ in the study group were lower than those in the control group ［(764±154)u,(3413±984)mL］, the difference was statistically significant(P<005). The postoperative bleeding volume and postoperative bleeding rate ［(1325±435)mL, 83%］ in the study group were also significantly lower than those in the control group ［(2624±548)mL, 217%］, and the difference was statistically significant (P<005). The vaginal delivery rate of the study group (650 %) was significantly higher than that of the control group(450 %). The incidence of complications in the study group(50 %) was significantly lower than that in the control group(200 %), and the difference was statistically significant (P<005).ConclusionTransabdominal and transvaginal ultrasound combined examination can more effectively monitor the muscular layer of the scar uterus in patients with advanced pregnancy, more clearly understand the healing of the patient's incision, reduce the incidence of adverse reactions, and have an important reference for whether the patient can have vaginal delivery. It has clinical application value and is worth promoting.

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更新日期/Last Update: 2018-11-25