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时间:2020-05-04
《子宫输卵管造影对剖宫产术后切口憩室的诊断分析-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、腹部影像学ABDOMINAClMAGlNG253子宫输卵管造影对剖宫产术后切口憩室的诊断分析刘嵘宋富珍钱朝霞【摘要】目的:探讨子宫输卵管造影对剖宫产术后切口憩室诊断上的应用价值。方法:对2011年1月至2013年5月在我院行子宫输卵管碘水造影(HSG)检查女性,术中发现子宫憩室且有剖宫产史者的35例患者,进行回顾性分析结果:35例切口憩室分为三型,轻型者为楔形,无明显经期改变者;重型者为团状或卷发状,边缘毛糙,有明显经期改变者且术中有经血流出,中型者为囊袋状,根据囊袋大小及边缘光整度不同可有经期改变,也可无明显临床症状。结论:HSG作为
2、提高子宫腔切口憩室的诊断的阳性率具有一定的优势,切口憩室形状与临床表现有一定的诊断相关性。【关键词】子宫输卵管造影;剖宫产术后;子宫切口憩室中图分类号:R814.43文献标志码:A文章编号:1006—5741(2014).03.0253.04DiagnosisoftheUterineScarDefectafterCesareanSectionbyHysterosalpinograghyLIURong,SONGFu-zhen,QIANZhao—xia【Abstract】Purpose:Toexploretheapplicationvalu
3、eofthehysterosalpinograghy(HSG)indiagnosisoftheuterinescardefectaftercesareansection.Methods:Thirty-fivepatients,whohadcesareansectionanduterinescardefectinourhospitalfromJanuary2011toMay213,wereenrolled。Theyallhadundergonehysterosalpin0graghy,andtheresultswerereviewedre
4、trospectively.Results:Thirty—fiveuterinescardefectaftercesareansectionweredividedintothreetypes:thelightertypewaswedge—like,thepatientshadnoobviousmenstrualchanges;theheaviertypewasclumps—likeorcurlyhair—likewithcoarseedge,thepatientshadobviousmenstrualchanges;themediumt
5、ypewaspouch—like,thepatientshadmenstrualchangesornoobviousclinicalsyndromeaccordingtothesizeandedgeshapeofthepouch.Conclusion:HSGhavesomeadvantagestoimprovethepositiverateofthediagnosisofuterinescardefectaftercesareansection,theshapesofthescardefecthavesomecorrelationwit
6、hclinica1manifestations.【Keywords】Uterinescardefectaftercesareansection,Hysteroscopy,Laparoscopy子宫憩室分先天性及后天获得性,先天性子宫子宫切I:1憩室属于后天性憩室。随着剖宫产率逐年升憩室无宫腔手术史,属胚胎发育时副中肾管发育异常高,子宫切口憩室发生率呈上升趋势,时可见超声诊所致,后天获得性子宫憩室主要由于手术损伤所致,断的相关报道,但有关子宫输卵管造影检查对子宫切中国医学计算机成像杂志,2014,20:253-256ChinComputM
7、edImag,2014,20:253—256作者单位:上海交通大学医学院附属国际和平妇幼保健院放射科DepartmentofRadiology.TheInternationalPeaceMaternal&Child通信地址:上海市衡山路910号,上海市200030HospitalofTheChinaWelfareInsititueAffiliatedShanghaiJiaotong通信作者:宋富珍(电子邮箱:liurong1971@sina.corn)University基金项目:上海市市级医院适宜技术项NNo.SHDC12012219
8、Address:910HengshanRd.,Shanghai200030,P.R.C.AddressCorresp0ndencetoSongFu—zhen(E·mail:liurongl971@sina.
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