The Clinical Value of Transvaginal Ultrasound Combined with Transabdominal Superficial Ultrasound in Measuring the Thickness of the Lower Segment of the Anterior Wall of the Uterus Before Delivery of a Scarred Uterus in a Second Pregnancy
Objective:To explore and analysis the clinical values of transvaginal ultrasound combined with transabdominal superficial ultrasound in measuring the thickness of the lower segment of the anterior wall of the uterus before delivery of a scarred uterus.Methods:From February 2021 to August 2023,80 cases of pregnant women with scarred uterus who underwent re pregnancy treatment at a our hospital were selected as the research subjects.All patients were underwent transvaginal ultrasound and superficial abdominal ultrasound examination,recording the ultrasound grading and poor healing of uterine scars,detected the thickness of the lower segment of the anterior uterine wall muscle layer,and determined the diagnostic values.Results:Among the 80 women,they were delivered by cesarean section,50 with grade I scar,20 with grade scar,8 with grade scar and 2 with grade scar,which was the gold standard,50 with good healing and 30 with poor healing.There was no difference between the interval,pregnancy,delivery,age and gestational age of the good healing group and the poor healing group(P>0.05).The myometrial thickness of the inferior anterior wall segment was significantly improved compared with the poor healing group(P<0.05).Transvaginal ultrasound and superficial abdominal ultrasound,specificity and accuracy of good scar healing in the previous wall were 92.00%,93.33%and 92.50%.Conclusion:Transvaginal ultrasound and transsuperficial abdominal ultrasound can determine the thickness of the inferior muscle layer of the anterior wall of the uterus,provide clinical information on the lower uterine segment and effectively predict the occurrence of poor healing.
transvaginal ultrasoundsuperficial transabdominal ultrasoundscarred uterusthe thickness of the lower segment of the anterior uterine wall muscle layerpoor healing
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