The diagnostic value of transvaginal three-dimensional ultrasound in uterus abnormal bleeding caused by uterine incision diverticulum after cesarean section
10.3969/j.issn.1006-5725.2016.10.014
- VernacularTitle:阴道三维超声对剖宫产术后子宫切口憩室导致的子宫异常出血的诊断价值
- Author:
Xiaoyan GAO
;
Ling ZHANG
;
Peng ZHANG
- Publication Type:Journal Article
- Keywords:
Transvaginal three-dimensional ultrasound;
Uterine incision diverticulum;
cesarean sec-tion;
Abnormal uterine bleeding
- From:
The Journal of Practical Medicine
2016;32(10):1598-1601
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnostic value of transvaginal three-dimensional ultrasound in uterus abnormal bleeding caused by uterine incision diverticulum after cesarean section. Methods We collected 480 cases with cesarean section patients from January 2011 to July 2015 in our hospital. A retrospective analysis of the cases was performed by transvaginal ultrasound , if the incision diverticulum was found , for measuring and recording the depth , length , width and assessing the residual muscle layer thickness and the shape and volume of the diverticulum with vaginal bleeding in the following up. Results 118 cases were found incision diverticu-lum by ultrasound in 480 patients , including 70 cases of triangular , 33 cases of semicircle , 15 cases of other shapes , of which 56 patients of uterine abnormal bleeding were significantly correlated with the volume and depth of the diverticulum. While menstruation PBAC scores were higher , the greater probability associated with abnormal uterine bleeding , but bleeding did not associate with the shape and length and width of diverticula; In this study we also found that OR value (OR = 15.809) of the diverticulum volume maximum was the key factors leading to the abnormal uterine bleeding in uterine incision diverticulum. Conclusion Transvaginal three-dimen-sional ultrasound can be convenient , fast and accurate diagnosis of uterine abnormal bleeding caused by incision diverticulum , and is of important significance for guiding clinical medication and surgical treatment.
