【摘要】 目的探讨经阴道超声诊断子宫切口假腔的临床价值。方法对56例月经期延长的剖宫产术后半年以上者经阴道超声探查。结果子宫切口假腔形成40例,子宫切口假腔声像学特征为:子宫下段切口处肌层部分或全部缺损,该处见不规则的液暗区,液暗区与宫腔相通,与浆膜层最近距离≤0.2cm。根据假腔的形态不同,可分为3种类型:类三角形、漏斗形和囊肿形。结论子宫切口假腔是造成剖宫产术后部分妇女经期延长的重要原因,应引起临床重视。更多还原

【Abstract】 [Objective] Discussed the clinical significance of the uterus incision lacuna via the vaginal ultrasonic diagnosis.[Method] We studied 56 women with menses extended using vaginal ultrasonic probe.All of them had a Caesarean operation more than half a year ago.[Result] A uterus incision lacuna was found in 40 women.Its acoustic image feature includes a part or full lack of the muscle layer in the lower part of a uterus incision.There is an anomalistic liquid dark zone,which connects with the body of the uterus and whose closest distance to the chorion layer is less than 0.2 cm.According to the shape of its formation,the lacuna can be divided into three types,similar triangle,infundibuliform shape and cystiform shape.[Conclusion] The formation of the uterus incision lacuna is a chronic complicating disease of the Caesarean operation,which is one of important reasons to cause the menses of some women to extend after their Caesarean operations.It should deserve more attention clinically.更多还原