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对３６０ 例剖宫产患者子宫切口愈合情况进行了临床及超声监测，并对可能引起子宫切口愈合不良的有关因素进行了分析。结果：Ｂ超提示子宫切口异常者４９ 例（１３－６％ ），其中大部分病例均有程度不同的体温、血象及恶露异常，并以体温、血象异常较为突出。胎膜早破、多次肛门和阴道检查可增加子宫切口愈合不良的危险性；手术方式、术中出血量以及切口撕裂也与子宫切口愈合不良关系密切。提示：重视术前感染诱因的监测，严格掌握手术的适应证，提高手术技能和加强术后监护，对预防子宫切口的感染有着重要意义。
The clinical and ultrasound monitoring of uterine incision healing in 360 cases of cesarean section were conducted. The factors that may cause the healing of uterine incision were analyzed. Results: There were 49 cases (13.6%) of the patients with abnormal uterine incision in B-mode ultrasound. Most of them had abnormal body temperature, blood and lochia in most cases, and their body temperature and blood abnormalities were more prominent. Premature rupture of membranes, multiple anal and vaginal examination can increase the risk of poor healing of uterine incision; surgical methods, intraoperative bleeding and incision tear is also closely related to poor healing of uterine incision. Tip: Pay attention to the incentive of preoperative infection monitoring, strict control of surgical indications, improve surgical skills and strengthen postoperative care, prevention of uterine incision infection is of great significance.