The monitoring of post cesarean section uterine scal with B-ultrasonographic and clinical detections
Bai, J.; Xu, W.; Yang, Q.
Zhonghua Fu Chan Ke Za Zhi 32(4): 195-197
1997
ISSN/ISBN: 0529-567X PMID: 9596895 Document Number: 475139
To find out an effective method for monitoring the healing of uterine incision after cesarean section. 1,145 patients with cesarean section were monitored by B-ultrasonography. In 19 patients who revealed fluid mass in uterine incision, 10 cases were treated by percutaneous drainage under sonographic guidance and 9 cases as control. According to sonographic characteristics, uterine incision healing can be divided into three conditions: normal type revealing a smooth strong echo's light band in uterine incision (93.97%), inflammatory type revealing an uneven parenchymatous light mass (3.67%), and fluid mass with inflammation revealing a complex light mass with low echo's or anechoic area (2.36%). There were abnormal clinical signs in most cases of inflammation. The percutaneous drainage therapy showed marked effect. The monitoring of uterine incision healing by B-ultrasonography plays an important role in preventing late post-partum hemorrhage.