中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2016, Vol. 45 ›› Issue (2): 158–161.doi: 10.12007/j.issn.0258-4646.2016.02.014

• 论著 • 上一篇    下一篇

经阴道超声观察剖宫产术后瘢痕憩室的结构特点及其危险因素分析

王艺桦1,马琳1,阚艳敏1,王文韬2   

  1. 1 华北理工大学附属医院超声科,河北唐山063000;2 秦皇岛市疾病预防控制中心,河北秦皇岛066000
  • 收稿日期:2015-09-06 出版日期:2016-02-27 发布日期:2016-01-21
  • 通讯作者: 马琳 E-mail:malintsh@163.com
  • 作者简介:王艺桦(1990 -),女,硕士研究生.

Transvaginal Ultrasonic Observation of Structural Characteristics of Previous Cesarean Uterine Niches and Analysis of Its Risk Factors

WANG Yi-hua1,MA Lin1,KAN Yan-min1,WANG Wen-tao2   

  1. 1 Department of Ultrasound,The North China University of Science and Technology Affiliated Hospital,Tangshan 063000,China;2 Qinhuangdao Centers for Disease Control and Prevention,Qinhuangdao 066000,China
  • Received:2015-09-06 Online:2016-02-27 Published:2016-01-21

摘要: 目的 经阴道超声观察剖宫产术后子宫瘢痕憩室的形态特征,分析其危险因素。方法 选择2013年9月至2015年4月在华北理工大学附属医院行剖宫产且产后40~45 d在我院行经阴道超声检查的产妇128例。其中,瘢痕憩室组44例,瘢痕愈合良好组84例,观察瘢痕憩室的结构特点并分析其形成的危险因素。结果 瘢痕憩室超声表现及特点子宫切口处残余肌层变薄,肌层部分连续或完全不连续,但浆膜层仍完整;肌层缺损呈无回声或低无回声,与宫腔相通;瘢痕憩室形态多为三角形或楔形。logistic回归分析结果 显示子宫后位、产后感染及切口临近宫颈内口是瘢痕憩室形成的危险因素。结论 经阴道超声检查能清晰观察并诊断子宫瘢痕憩室,为临床诊疗提供可靠的影像学依据,对避免或减少瘢痕憩室的发生具有重要临床价值。

关键词: 经阴道超声检查, 剖宫产术, 瘢痕憩室, 危险因素

Abstract: Objective To observe the previous cesarean uterine niches with transvaginal sonography,and analyze the associated risk factors. Methods Totally 128 women who received cesarean section in North China University of Science and Technology Affiliated Hospital between September 2013 and April 2015 were examined by transvaginal sonography 40 to 50 days after operation. Uterine niches were found in 44 cases,while the other 84 cases showed healed scar. The morphological features of previous cesarean scar defects were described,and the risk factors were analyzed. Results The chorion is complete,while the remaining myometrial thickness become thinner,and the myometrium is discontinuous. The defect is anechoic or hypoechoic area,which is connected with uterine cavity. The most commonly shapes are triangular and wedge. Logistic regression analysis shows that retroflexed uterus,the lower location of the incision,postcaesarean infection are the major risk factors. Conclusion The risk factors of uterine niches are retroflexed uterus,the lower location of the incision,and postcaesarean infection. Transvaginal sonography can clearly observed the niches,which not only provide reliable imaging basis for clinical diagnosis and treatment,but also plays an important role in avoiding or reducing the occurrence of niches.

Key words: transvaginal ultrasound, cesarean section, uterine niches, risk factors

中图分类号: 

  • R445.1
[1] 刘畅, 柯艳, 赵丽, 崇巍. 急性消化道出血患者心肌损伤的危险因素分析[J]. 中国医科大学学报, 2018, 47(9): 834-837.
[2] 孙赫. 胰十二指肠切除术后胰瘘的危险因素及胰肠吻合方式分析[J]. 中国医科大学学报, 2018, 47(7): 622-625.
[3] 王鸾, 蔡雪, 赵敏. 急性百草枯中毒死亡危险因素分析[J]. 中国医科大学学报, 2018, 47(3): 237-239,243.
[4] 孙曼妮, 陈海英, 孟涛. 延期妊娠引产后剖宫产的危险因素分析[J]. 中国医科大学学报, 2018, 47(2): 111-113,118.
[5] 张宁宁,王光伟,杨清. 腹腔镜下不同方法修复剖宫产子宫瘢痕憩室的临床疗效分析[J]. 中国医科大学学报, 2017, 46(9): 853-855.
[6] 裴培,刘志. 急诊社区获得性肺炎患者中类肺炎性胸腔积液的危险因素分析[J]. 中国医科大学学报, 2017, 46(7): 653-655.
[7] 周秉博, 王晓宏, 杨军. 急性脑梗死患者重组组织型纤溶酶原激活剂静脉溶栓后出血性转化的危险因素分析[J]. 中国医科大学学报, 2017, 46(12): 1101-1104,1110.
[8] 李卅立 ,,范秋灵 ,赵洁 ,刘楠 ,王曦 ,姜奕 ,王力宁. IgA 肾病牛津分型与临床指标的相关性及危险因素分析[J]. 中国医科大学学报, 2017, 46(1): 1-6.
[9] 谢诺. 妊娠期糖尿病危险因素的分析[J]. 中国医科大学学报, 2016, 45(5): 476-477.
[10] 陆杰,李东玉,徐世安. 冠状动脉旁路移植术后新发心房颤动的多因素分析[J]. 中国医科大学学报, 2016, 45(3): 273-277.
[11] 张迪,李斌,马淑梅. 慢性心功能不全患者合并肾功能不全的高危因素分析[J]. 中国医科大学学报, 2015, 44(8): 725-729.
[12] 张一径, 韩硕, 金元哲. 不同年龄组吸烟患者经皮冠状动脉介入治疗后复吸危险因素差异分析[J]. 中国医科大学学报, 2015, 44(6): 538-542.
[13] 孙超,薛向东,汪柏林,孙发,,田源,邢俊平,唐开发,. 良性前列腺增生与代谢综合征的相关性研究[J]. 中国医科大学学报, 2015, 44(1): 15-19.
[14] 于艳丽,黄家中,李悦,于彤彤,刘兴利,庞文跃,孙志军,孙兆青. 40岁以下青年急性心肌梗死患者临床特点分析[J]. 中国医科大学学报, 2015, 44(1): 77-80.
[15] 叶郁红,张声,王行富,王密. 宫颈癌相关危险因素分析[J]. 中国医科大学学报, 2014, 43(7): 659-660.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!

中国医科大学学报版权所有©2018

未经允许,严禁擅自转载本站图文资料

地址:中国 沈阳市沈北新区蒲河路77号 110122

辽ICP备05014850

JOURNAL OF CHINA MEDICAL UNIVERSITY

ADDRESS: NO.77 PUHE ROAD

SHENYANG NORTH NEW AREA, SHENYANG

LIAONING PROVINCE, P.R. CHINA