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剖宫产术后并发症难题:影像学的作用。

Post caesarean section complications conundrum: Role of imaging.

机构信息

Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical sciences, New Delhi, India.

Department of Obstetrics and Gynecology, All India Institute of Medical sciences, New Delhi, India.

出版信息

Br J Radiol. 2022 Sep 1;95(1138):20211344. doi: 10.1259/bjr.20211344. Epub 2022 Jul 1.

Abstract

Although caesarean delivery is a safe procedure, however, with rising numbers being performed every year globally, increasing number of complications are being encountered by clinicians and radiologists. These complications can be , occurring over first few days to weeks, or which can present months to years later. Also, it must be kept in mind that the normal variations of physiological involution occurring in early postpartum period can mimic pathology in many cases. Clinical history, laboratory parameters, and radiological investigations go hand in hand in identifying acute complications at the earliest, enabling early initiation of treatment. Among radiological investigations, ultrasound is the first line investigation of choice, followed by computed tomography (CT) and magnetic resonance imaging (MRI) in certain conditions which will be described and illustrated further in this article.

摘要

虽然剖宫产是一种安全的手术,但是随着全球每年进行的剖宫产数量的增加,临床医生和放射科医生遇到的并发症也越来越多。这些并发症可以是,发生在最初几天到几周内,也可以是,几个月到几年后才出现。此外,必须记住,在许多情况下,产后早期发生的生理性退化的正常变化可以模拟病理。临床病史、实验室参数和放射学检查相辅相成,可尽早识别急性并发症,从而尽早开始治疗。在放射学检查中,超声是首选的一线检查方法,在某些情况下,会选择计算机断层扫描(CT)和磁共振成像(MRI),本文将进一步描述和说明这些情况。

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