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目的:探讨超声对妊娠子宫破裂的临床诊断与应用价值。方法:回顾性分析17例经手术证实为子宫破裂患者超声声像图特点及发生原因。结果:不全子宫破裂1例,完全子宫破裂16例;其中由于剖宫产术后疤痕破裂7例,穿透性胎盘植入1例,手术创伤5例,子宫收缩剂使用不当4例;4例于妊娠期,13例发生于分娩期;13例发生于子宫下段,3例发生于子宫体部,1例发生于宫底。结论:超声检查可明确诊断子宫有无破裂及有无穿孔,穿孔部位、大小以及腹腔内积液情况,可为临床诊断、治疗及手术提供有重要的指导价值。并且具有安全无创、方便、及时和可重复检查的优点,值得临床推广应用。
Objective: To investigate the clinical diagnosis and application of ultrasound on uterine rupture of pregnancy. Methods: A retrospective analysis of 17 cases of patients with uterine rupture confirmed by ultrasonography features and causes. Results: 1 case of incomplete uterine rupture and 16 cases of complete uterine rupture. Among them, 7 cases had scar rupture after cesarean section, 1 case had penetrating placenta accreta, 5 cases had surgical trauma, 4 cases had uterine contractile improper use, 4 cases In pregnancy, 13 cases occurred in the delivery period; 13 cases occurred in the lower uterine segment, 3 cases occurred in the uterine body, 1 case occurred in the uterine fundus. Conclusion: Ultrasonography can clearly diagnose whether the uterus ruptures with or without perforation, perforation site, size and intraperitoneal effusion, which may provide important guiding value for clinical diagnosis, treatment and operation. And has the advantages of safe non-invasive, convenient, timely and repeatable examination, it is worth clinical promotion and application.