剖宫产术后子宫切口愈合不良11例分析

Abnormal healing of uterine incision after cesarean section: Analysis of 11 cases

摘要: 目的: 探讨剖宫产术后子宫切口愈合不良的相关因素、诊治方法、预防措施。方法: 对我院2002~2004年收治的剖宫产术后子宫切口愈合不良的临床资料进行回顾性分析。结果: 11例中以产程停滞或延长作为剖宫产指征7例(63%)。临床表现主要为产后出血和感染。B超下表现为低或无回声光团为主的混合性光团。以手术治疗为主。结论: 产程停滞或延长、子宫切口位置选择不当是影响切口愈合的主要因素。术后可以利用B超早期诊断。加强产时监护、提高产科质量是预防的根本措施。

Abstract: Objective: To explore the causes,diagnosis,treatment and prevention of the uterine incision abnormal healing after caesarian section.Methods: The data of 11 cases of uterine incision abnormal healing after caesarian section from 2002 to 2004 were analyzed retrospectively.Results: Of the 11 cases,7 of the cesarean section indications were prolonged labor (63%).The clinical manifestations were late postpartum hemorrhage and infection.B-Ultrasonography revealed a complex light mass with low echo or anechoic area in the 11 patients.All were treated by operation.Conclusions: The main factors affecting the healing of uterine incision are prolonged labor and the type of uterine section.B-Ultrasonography can help early diagnosis.The radical prevention is to strength monitoring and improve the obstetric level.