[The monitoring of post cesarean section uterine scal with B-ultrasonographic and clinical detections].
OBJECTIVE
To find out an effective method for monitoring the healing of uterine incision after cesarean section.


METHODS
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.


RESULTS
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.


CONCLUSIONS
The monitoring of uterine incision healing by B-ultrasonography plays an important role in preventing late post-partum hemorrhage.
Bai
J
J
First Affiliated Hospital of Hubei Medical University, Wuhan.
Xu
W
W
Yang
Q
Q
D002585:Cesarean Section; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000517:prevention & control; D011247:Pregnancy; D013530:Surgical Wound Infection / Q000000981:diagnostic imaging; D014463:Ultrasonography; D014599:Uterus / Q000000981:diagnostic imaging*; D014945:Wound Healing