Tan Eelin, Tan Timothy Shao Ern, Teo Harvey Eu Leong, Lau Li Ching
Department of Diagnostic Imaging, KK Womens' and Childrens' Hospital, Singapore, Singapore.
Ultrasound. 2022 May;30(2):150-157. doi: 10.1177/1742271X211038595. Epub 2021 Aug 27.
With the rise in Caesarean deliveries, complications related to the procedure are increasingly encountered. Sonography has an indispensable role in the assessment of these complications and is often the first-line investigation of choice. Part 1 of this pictorial review summarises the early complications unique to and associated with Caesarean deliveries.
Acute haemorrhagic complications include retained products of conception, subfascial and bladder flap haematomas and, rarely, postpartum uterine dehiscence or rupture and iatrogenic vascular complications. Infective complications include puerperal and wound infections. Key sonographic features of these conditions are illustrated. Pitfalls, mimics, limitations and indications for cross-sectional imaging are discussed.
Sound knowledge of the sonographic features of common early complications of Caesarean delivery will facilitate accurate diagnosis, timely management and improved patient outcomes.
随着剖宫产率的上升，与该手术相关的并发症越来越常见。超声检查在评估这些并发症方面具有不可或缺的作用，通常是首选的一线检查方法。本图谱综述的第一部分总结了剖宫产特有的及与之相关的早期并发症。
急性出血性并发症包括妊娠物残留、筋膜下和膀胱瓣血肿，以及罕见的产后子宫裂开或破裂和医源性血管并发症。感染性并发症包括产褥期感染和伤口感染。文中阐述了这些病症的关键超声特征。讨论了陷阱、模仿物、局限性以及横断面成像的适应证。
熟悉剖宫产常见早期并发症的超声特征将有助于准确诊断、及时处理并改善患者预后。
