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超声诊断子宫内翻并引导手法复位一例及文献复习
作者:苗立友  曹荔  吴云  赵磊  刘得卫  胡涛 
单位:南京医科大学附属妇产医院(南京市妇幼保健院) 超声科, 江苏 南京 210004
关键词:超声 子宫内翻 手法复位 
分类号:R711.59
出版年·卷·期(页码):2019·38·第六期(963-966)
摘要:

目的:探讨超声在子宫内翻的诊断及手法复位中的临床价值。方法:回顾性分析1例经临床证实为子宫内翻患者的超声表现、临床资料及超声引导临床医师对内翻子宫的手法复位过程,并复习相关文献。结果:子宫内翻二维超声表现为子宫纵切面示宫底凹陷,宫腔线消失,中央部为夹杂细条样低回声的中回声带;子宫横切面显示不同回声带,呈环形排列。子宫内翻彩色多普勒血流显像表现为子宫中央部见相对聚集的丰富的血流信号。超声引导临床医师经阴道手法复位成功。结论:超声不但可以快速明确诊断子宫内翻,还可全程实时监测并有效指导临床医师经阴道手法复位内翻的子宫。超声在子宫内翻的诊断及手法复位中具有重要的临床价值。

Objective: To explore clinical value of the ultrasound on the diagnosis and manual reduction of uterine inversion. Methods: Ultrasonic manifestations, clinical data and process of the clinical physicians manual reduction uterine inversion guided by ultrasound in a patient who was clinically confirmed to be uterine inversion was analyzed and the relevant literature was reviewed. Results: Two-dimensional sonographic findings of uterine inversion:longitudinal section of the uterine showed that the bottom of uterine was sagged, uterine cavity line was disappeared, zonal middle echoes which included thin low echoes was found in the centre of uterus;Uterine cross section showed that different echo presented a circular permutation. Color Doppler flow imaging:rich signal of blood flow relatively gathered was found in central of uterus. Manual restoration by clinician was successfully under the guiding of ultrasound. Conclusion: Ultrasonography not only can diagnose uterine inversion but also can whole process real-time monitoring and effective guidance the clinicians to restore the varus uterus through vaginal manipulation. Ultrasound has an important clinical value during the diagnosis and guiding manual reduction.

参考文献:

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