Assessment of the cesarean section scar with transvaginal ultrasound

VernacularTitle:经阴道超声评估剖宫产术后瘢痕的应用价值
Author: Ping CHEN ; Xipeng WANG ; Huihui CHEN ; Xiangli HONG ; Min YAO
Publication Type:Journal Article
Keywords: Endosonography; Cesarean section; Cicatrix; Diverticulum
From: Chinese Journal of Ultrasonography 2015;(5):422-425
CountryChina
Language:Chinese
Abstract: Objective To assess the cesarean section scar morphology and size with transvaginal ultrasound and the healing of incision diverticulum after the repairing operation.Methods Forty cases with cesarean section scar defects needed repairing operation,40 cases of cesarean section without symptoms and 40 cases of vaginal delivery were involved.The scar condition and measured the size of cesarean section defects were observed.For the 40 cases needed repairing operation,the healing of the scar and measured the size of the defects were observed which still existed before and after the surgery.For the transvaginal delivery cases the thickness of uterine isthmus were measured.Results After the scar defects repairing operation,there were 9 cases who still had diverticulum,but the defects were smaller than that before operation (P <0.05).The symptoms were relieved.Among the 40 asymptomatic cases,there were 1 1 cases had defects,but the diverticulum were smaller than that of needed operation patients (P < 0.05 ). Conclusions The transvaginal ultrasound is a noninvasive and convenient method to observe the cesarean section scar.