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目的对超声波在瘢痕子宫妊娠破裂诊断中的临床应用效果进行探讨。方法对18例瘢痕子宫妊娠破裂患者予以超声波检查,分析其结果。结果经超声波诊断发现,有10例子宫完全性破裂,1例误诊,超声诊断率为90.91%(10/11);7例子宫不完全性破裂患者,且其子宫前壁下段的厚度1.68~2.38 cm,其中有2例出现了羊膜囊膨出,3例子宫前壁下段肌层未连续,且呈现单线高回声。结论超声波检查是当前临床上诊断瘢痕子宫妊娠破裂的一种有效手段,将其应用在早期瘢痕子宫妊娠破裂的检查,可及早发现子宫破裂,保证母婴的生命安全。
Objective To investigate the clinical application of ultrasound in the diagnosis of uterine scar pregnancy. Methods Eighteen patients with uterine rupture of pregnancy were examined by ultrasound and the results were analyzed. Results Ultrasound diagnosis revealed complete uterine rupture in 10 cases and misdiagnosis in 1 case. The diagnostic rate of ultrasound was 90.91% (10/11). In 7 cases with uterine rupture, the thickness of anterior uterine wall was 1.68-2.38 cm, of which 2 cases of amniotic sac bulge, 3 cases of uterine anterior wall muscle segment is not continuous, and showed single-line hyperechoic. Conclusion Ultrasound examination is an effective method to diagnose the rupture of uterine pregnancy in clinic at present. It can be used to detect rupture of uterine pregnancy in early scar, and the rupture of uterus can be detected early to ensure the safety of mother and infant.