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首页> 外文期刊>Open Journal of Obstetrics and Gynecology >Transvaginal 3D Ultrasound Evaluation of Post-Cesarean Section Uterine Diverticulum
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Transvaginal 3D Ultrasound Evaluation of Post-Cesarean Section Uterine Diverticulum

机译：剖宫产子宫憩室的经阴道3D超声评估

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Objectives: This study focused on evaluating the value of transvaginal 3D ultrasound for the diagnosis and prognostic assessment of post-cesarean section uterine diverticulum. Materials and Methods: We retrospectively analyzed the data from 32 patients with post-cesarean section uterine diverticulum over three recent years. In all patients, transvaginal 3D ultrasound was used to measure the size of the uterine diverticulum and the thickness of the lower uterine segment (LUS) and myometrium. Patients with a LUS with a myometrial thickness under 4 mm underwent resection and repair surgery; those with a LUS with a myometrial thickness over 4 mm underwent hysteroscopic resection. The postoperative sonograms were compared with preoperative images to evaluate the efficacy of various treatments. Results: The mean length, width and depth of the uterine diverticula were 18.30 ± 2.80 mm, 9.14 ± 3.20 mm and 11.49 ± 2.71 mm, respectively. The average LUS myometrial thickness was 3.40 ± 0.80 mm (with a range of 1.6 mm - 6.3 mm). After surgery, two patients’ sonograms still showed diverticula at the post-cesarean section scar, measuring 6 mm × 7 mm × 6 mm and 6 mm × 8 mm × 4 mm. There were significant differences in the size of uterine diverticula between preoperative and postoperative sonograms (P < 0.05) and the effective rate of surgery was 93.75% (30/32). Conclusions: Transvaginal 3D ultrasound is an accurate method for detecting post-cesarean section uterine diverticulum and is helpful for assessing surgical options and prognosis. The LUS myometrial thickness, which is considered as an optional index of post-cesarean section uterine diverticulum, should be measured routinely.
机译：目的：本研究的重点是评估经阴道3D超声对剖宫产后子宫憩室的诊断和预后评估的价值。材料与方法：我们回顾性分析了近三年来32例剖宫产后子宫憩室患者的数据。在所有患者中，均采用经阴道3D超声测量子宫憩室的大小以及子宫下段（LUS）和子宫肌层的厚度。 LUS的子宫肌层厚度小于4 mm的患者接受了切除和修复手术;子宫肌层厚度超过4 mm的LUS者需行宫腔镜切除术。将术后超声检查与术前影像进行比较，以评估各种治疗方法的疗效。结果：子宫憩室的平均长度，宽度和深度分别为18.30±2.80 mm，9.14±3.20 mm和11.49±2.71 mm。 LUS肌层平均厚度为3.40±0.80 mm（范围为1.6 mm-6.3 mm）。手术后，两名患者的超声检查仍显示剖宫产后瘢痕处有憩室，分别为6 mm×7 mm×6 mm和6 mm×8 mm×4 mm。术前和术后超声检查子宫憩室大小差异有统计学意义（P <0.05），手术有效率为93.75％（30/32）。结论：经阴道3D超声检查是一种检测剖宫产后子宫憩室的准确方法，有助于评估手术选择和预后。 LUS子宫肌层厚度被认为是剖宫产后子宫憩室的可选指标，应常规测量。

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