Correlative evaluation between the volume of postcaesarean section scar defects after cesarean section and abnormal uterine bleeding by transvaginal three-dimensional ultrasound
LAN Li,TANG Feiyun,YUE Ting, et al. Correlative evaluation between the volume of postcaesarean section scar defects after cesarean section and abnormal uterine bleeding by transvaginal three-dimensional ultrasound[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2016, 46(11): 843-845.
Abstract：Objective: To explore the correlation between the size of post-caesarean section scar defects (PCSD) after cesarean section and abnormal uterine bleeding by transvaginal three-dimensional ultrasound. Methods: Seventy two patients with PCSD of ultrasound images with regard to the PCSD of deep muscle layer ratio, volume of the diverticulum, width, height and length were analyzed, compared with the parameters of PCSD in the normal group and the abnormal utrine bleeding group. Results: All patients in this group with PCSD were found by transvaginal three-dimensional ultrasound examination. The abnormal uterine bleeding group was greater than the normal menstruation group in regard of PCSD of deep muscle layer ratio, volume of the diverticulum, width, height and length (P<0.05). By multivariate logistic regression analysis, PCSD volume was the risk factor for abnormal uterine bleeding after cesarean section (OR=2.211, P<0.01). Conclusion: Transvaginal three-dimensional ultrasound can reconstruct the volume of selected sections of PCSD, which is a risk factor for abnormal uterine bleeding.
