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剖宫产后子宫峡部纱布瘤超声特征55例分析

李小花 范东晨 刘阿庆 郭静 王婷 王少春

中国临床医学影像杂志2017,Vol.28Issue(12):881-884,4.
中国临床医学影像杂志2017,Vol.28Issue(12):881-884,4.

剖宫产后子宫峡部纱布瘤超声特征55例分析

Analysis on the sonographic characteristics of gossypiboma of the uterine isthmus after caesarean section in 55 patients

李小花 1范东晨 1刘阿庆 1郭静 1王婷 1王少春1

作者信息

  • 1. 济宁医学院附属医院,山东济宁 272000
  • 折叠

摘要

Abstract

Objective: To investigate the ultrasound characteristics and improve the ultrasound diagnosis of gossypiboma of the uterine isthmus caused by uncomplete absorption of the gauze after applying absorbable hemostatic gauze in cesarean sec-tion. Methods: From July 2011 to July 2016, 55 patients with masses in front of the lower segment of the uterus by ultra-sound as well as results of gossypibomas by histopathology were enrolled in the study, whose sonographic features were re-viewed retrospectively. Results: Sonography showed the lesion in the adjacent front of the anterior wall of the uterus in 55 patients. Forty(72.7%) masses appeared low echo, 15(27.3%) masses appeared mixed echo. Fifty(90.9%) appeared with thread-like or small patchy echogenic area. Color Doppler flow image showed no obvious blood flow in 50 cases (90.9%), but with minimal blood flow on the peripheral of the mass in 5 cases(9.1%). Conclusions: Gossypiboma related to absorbable hemostat-ic gauze after cesarean section may appear low or mixed echo by ultrasound. Threadlike echogenic area is typical ultrasonic feature. The radiologist may be alerted to the correct diagnosis combining with the surgical records.

关键词

子宫肿瘤/超声检查

Key words

Uterine neoplasms/Ultrasonography

分类

医药卫生

引用本文复制引用

李小花,范东晨,刘阿庆,郭静,王婷,王少春..剖宫产后子宫峡部纱布瘤超声特征55例分析[J].中国临床医学影像杂志,2017,28(12):881-884,4.

中国临床医学影像杂志

OACSTPCD

1008-1062

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