Abstract：Objective: To study diagnosis of uterine cicatricial diverticulum by hysteroscopic underwater transabdominal ultrasound. Methods: 240 patients uterine cicatricial diverticulum who received therapy from November 2014 to November 2017 in our hospital were selected as research objects, they were examined by hysteroscopic underwater transabdominal ultrasound and transvaginal ultrasound, the morphological and size of the diverticulum were measured, and the diagnostic value of the two ways of the uterine cicatricial diverticulum was compared. Results: The results showed that the detection rate of hysteroscopic underwater transabdominal ultrasound was 100% (240/240), while the rate of transvaginal ultrasound was 92.08% (221/240), the differences are statistically significant (P<0.05); the results of four meridians of depth, length, width and thickness of residual muscularis were measured respectively, the results of the depth, length and width in the hysteroscopic underwater transabdominal ultrasound were significantly larger than those in the transvaginal ultrasound [(13.82±2.41)mmvs(7.01±1.18)mm,(9.85±1.40)mmvs(8.14±1.19)mm,(14.29±2.35)mmvs(11.83±1.84)mm], the thickness of the residual muscularis is significantly thinner than those in the results of transvaginal ultrasound[(2.15±0.21)mmvs(2.98±0.74)mm], the differences are statistically significant (P<0.05). Conclusion: Hysteroscopic underwater transabdominal ultrasound in the diagnosis of uterine cicatricial diverticulum has a good value. And it can accurately understand the shape of the diverticulum, it's worthy of application and popularization.
杜秀娟, 徐珲. 宫腔镜注水膨宫下经腹超声对子宫瘢痕憩室的诊断意义[J]. 河北医学, 2018, 24(9): 1497-1500.
DU Xiujuan, XU Hui. Diagnostic Value of Hysteroscopic Water Injection and Transabdominal Ultrasound for Uterine scar Diverticulum. HeBei Med, 2018, 24(9): 1497-1500.
[1] 脱淑梅,郭钰珍.子宫瘢痕憩室的诊治进展[J].国外医学(医学地理分册),2015,36(4):322~324. [2] Akdemir A, Sahin C, Ari SA, et al. Determination of isthmocele using a foley catheter during laparoscopic repair of cesarean scar defect[J].Minim Invasive Gynecol, 2018, 25(1): 21~22. [3] Schmitt A, Crochet P, Agostini A. Robotic-assisted laparoscopic treatment of residual ectopic pregnancy in a previous cesarean section scar: a case report[J].Minim Invasive Gynecol, 2017, 24(3): 342~343. [4] 廖一名,李翠兰.剖宫产术后子宫切口憩室的诊疗进展[J].中国临床医生杂志,2016,44(01):19~22. [5] Ades A, Parghi S. Laparoscopic resection of cesarean scar ectopic pregnancy[J].Minim Invasive Gynecol, 2017, 24(4): 533~535. [6] 王艺桦,马琳,阚艳敏,等.经阴道超声观察剖宫产术后瘢痕憩室的结构特点及其危险因素分析[J].中国医科大学学报,2016,45(2):158~161. [7] Baranov A, Salvesen KA, Vikhareva O. Assessment of cesarean hysterotomy scar before pregnancy and at 11-14 weeks of gestation: a prospective cohort study[J]. Ultrasound Obstet Gynecol, 2017, 50(1): 105~109. [8] 黄红艳,周苏晋,等经阴道三维与二维超声对剖宫产术后子宫切口瘢痕处憩室诊断的对比分析[J].临床医学工程,2015,22(5):540~541. [9] Baranov A, Gunnarsson G, Salvesen KA, et al. Assessment of cesarean hysterotomy scar in non-pregnant women: reliability of transvaginal sonography with and without contrast enhancement[J]. Ultrasound Obstet Gynecol, 2016, 47(4): 499~505. [10] Li C, Guo Y, Liu Y, et al. Hysteroscopic and laparoscopic management of uterine defects on previous cesarean delivery scars[J].Perinat Med, 2014, 42(3): 363~370. [11] 付凤仙,段华.宫腔镜联合B超在诊断二次剖宫产术后子宫切口憩室中的价值[J].中国微创外科杂志,2014,14(9):812~815. [12] Raimondo G, Grifone G, Raimondo D, et al. Hysteroscopic treatment of symptomatic cesarean-induced isthmocele: a prospective study[J].Minim Invasive Gynecol, 2015, 22(2): 297~301. [13] 乔华媛,周星辰,汪希鹏.宫腔镜注水膨宫下经腹超声评估子宫瘢痕憩室的应用价值[J].现代妇产科进展,2017,26(4):273~275.
2018, Vol. 24 
冀公网安备13080202000677号