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目的探讨子宫破裂的超声声像图特点,发生的危险因素,及超声检查的临床价值。方法回顾性分析2013年1月至2014年9月襄阳市中心医院4例子宫破裂患者的超声声像图特点与相关的病史资料,并与手术结果进行对照分析。结果 4例均为自发性子宫破裂,2例为分娩中瘢痕妊娠子宫不完全性破裂,2例为分娩前完全性子宫破裂,均经手术证实。结论子宫破裂超声声像图表现复杂多样,与破裂的类型、程度、部位及内出血量等有密切关系,结合病史,超声检查可对子宫破裂作出明确性诊断或提示性诊断,对指导临床尽早诊治、及时手术非常重要。
Objective To investigate the characteristics of uterine rupture ultrasonography, the risk factors and the clinical value of ultrasonography. Methods The echographic features and related medical history of 4 cases of uterine rupture in Xiangyang Central Hospital from January 2013 to September 2014 were retrospectively analyzed and compared with the surgical results. Results 4 cases were spontaneous uterine rupture, 2 cases of incomplete uterine rupture during delivery of scar pregnancy, 2 cases of complete uterine rupture before delivery were confirmed by surgery. Conclusion Uterine rupture ultrasonography showed complex and diverse, with the type of rupture, extent, location and internal bleeding are closely related to history, ultrasound can make a clear diagnosis of uterine rupture or suggestive of diagnosis, to guide the clinical diagnosis and treatment as soon as possible , Timely surgery is very important.