Ultrasonic features of complete uterine rupture in pregnant women
10.13929/j.issn.1003-3289.2020.03.032
- Author:
Hua WANG
1
Author Information
1. Department of Ultrasound Medicine, Affiliated Taihe Hospital of Hubei University of Medicine
- Publication Type:Journal Article
- Keywords:
Pregnancy;
Ultrasonography;
Uterine rupture
- From:
Chinese Journal of Medical Imaging Technology
2020;36(3):439-443
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To observe the ultrasonic features of complete uterine rupture in pregnant women. Methods: Clinical data and ultrasonic features of 12 complete uterine rupture patients confirmed by surgical operation were retrospectively analyzed. Results: The past medical histories included uterine surgical operation in 9 cases, unreasonable application of drug induced labor in 2 cases and pelvic stenosis in 2 cases. The ultrasonic findings of complete uterine rupture were as follows. ①Interrupted continuity of uterine muscle wall, local echo was disordered, fetus and appendages located in uterine cavity, with different amount of peritoneal effusion. ②Interrupted continuity of uterine muscle wall, the fetus and appendages partially located in the uterine cavity and partially expelled into the abdominal cavity with different amount of peritoneal effusion. ③Empty uterus, the fetus within the amniotic sac was totally expelled into the abdominal cavity with different amount of peritoneal effusion. Combined with hematoma of broad ligament, the continuity of uterine muscle wall was interrupted, and there was no capsule in the disordered echo area with unclear boundary and irregular shape in the abdominal cavity, which was connected with abnormal echo area of uterine muscle wall. Among 12 patients of complete uterine rupture, 6 (6/12, 50.00%) cases were correctly diagnosed with ultrasound, while 4 (4/12, 33.33%) cases were suspected and 2 (2/12, 16.67%) cases were misdiagnosed. Conclusion: Ultrasonic manifestations of complete uterine rupture have certain characteristics. Ultrasound can be used as the first choice of imaging Methods: to observe the type, location, size of uterine rupture and abdominal effusion.
