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目的探讨剖宫产术后子宫切口血肿的诊断、治疗和预防。方法对9例剖宫产术后子宫切口血肿的病例资料进行回顾性分析。结果 9例病例均于术后一周左右因发热或异常阴道出血行B超检查发现子宫切口处出现大小不等的低回声或不均质回声团块,考虑子宫切口血肿形成,给予抗炎及收缩子宫和活血化瘀治疗,8例治愈,1例因血肿巨大压迫症状,行二次开腹血肿清除术。结论剖宫产术后子宫切口血肿形成原因较多,应用B超检查能够做到早诊断,及时应用抗炎及收缩子宫和活血化瘀治疗,效果好。
Objective To investigate the diagnosis, treatment and prevention of uterine incision hematoma after cesarean section. Methods Nine cases of uterine incision hematoma after cesarean section were retrospectively analyzed. Results All the 9 cases were found to have hypoechoic or inhomogeneous echogenic mass with different sizes in the uterine incision due to fever or abnormal vaginal bleeding one week after operation. Considering the formation of uterine incision hematoma, anti-inflammatory and contractile Treatment of uterus and blood circulation, 8 cases of cure, 1 case of massive compression of hematoma symptoms, the second open hematoma removal. Conclusion There are many reasons for the formation of uterine incision hematoma after cesarean section. The application of B-ultrasound can make early diagnosis, timely application of anti-inflammatory and contractile uterine and blood circulation and blood stasis treatment with good effect.