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对因阴道出血和盆腔疼痛而到急诊室就诊的患者进行产后子宫的盆腔超声检查。

Pelvic ultrasonography of the postpartum uterus in patients presenting to the emergency room with vaginal bleeding and pelvic pain.

作者信息

Vardar Zeynep, Dupuis Carolyn S, Goldstein Alan J, Siddiqui Efaza, Vardar Baran Umut, Kim Young H

机构信息

Department of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.

Department of Radiology, Saint Vincent Hospital, Worcester, MA, USA.

出版信息

Ultrasonography. 2022 Oct;41(4):782-795. doi: 10.14366/usg.22004. Epub 2022 Apr 8.

DOI:10.14366/usg.22004
PMID:36065575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9532205/
Abstract

Pelvic pain and vaginal bleeding are common symptoms in postpartum women presenting to the emergency room (ER). Pelvic ultrasonography plays a crucial role in evaluating symptomatic postpartum patients by allowing a rapid diagnosis and treatment initiation. The main goal of imaging is to distinguish between causes of pelvic pain and vaginal bleeding that may be managed conservatively and those requiring emergent intervention. This pictural essay focuses on the ultrasonographic features of common postpartum conditions for which patients may present to the ER with vaginal bleeding and pelvic pain, including retained products of conception, endometritis, uterine arteriovenous malformation, uterine artery pseudoaneurysm, ovarian vein thrombosis, bladder flap hematoma, and uterine dehiscence/rupture.

摘要

盆腔疼痛和阴道出血是前往急诊室（ER）就诊的产后女性的常见症状。盆腔超声检查通过实现快速诊断并开始治疗，在评估有症状的产后患者中起着关键作用。成像的主要目标是区分可能通过保守治疗的盆腔疼痛和阴道出血的原因与那些需要紧急干预的原因。这篇图文并茂的文章重点介绍了产后常见病症的超声特征，这些病症可能导致患者因阴道出血和盆腔疼痛前往急诊室就诊，包括妊娠物残留、子宫内膜炎、子宫动静脉畸形、子宫动脉假性动脉瘤、卵巢静脉血栓形成、膀胱瓣血肿以及子宫裂开/破裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/ea7114331eca/usg-22004f14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/ed905864a46d/usg-22004f1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/136251132219/usg-22004f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/36e52242e1f3/usg-22004f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/76a6fe628c12/usg-22004f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/ca2e5c89a5d3/usg-22004f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/d631a8fc175f/usg-22004f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/2627c30c2528/usg-22004f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/c76030b5b0dc/usg-22004f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/378ee2ce2073/usg-22004f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/e48f5d60b1de/usg-22004f11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/f756960d30a0/usg-22004f12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/1bacafb069ce/usg-22004f13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/ea7114331eca/usg-22004f14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/ed905864a46d/usg-22004f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/5360e28e8fe5/usg-22004f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/136251132219/usg-22004f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/36e52242e1f3/usg-22004f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/76a6fe628c12/usg-22004f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/ca2e5c89a5d3/usg-22004f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/d631a8fc175f/usg-22004f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/2627c30c2528/usg-22004f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/c76030b5b0dc/usg-22004f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/378ee2ce2073/usg-22004f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/e48f5d60b1de/usg-22004f11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/f756960d30a0/usg-22004f12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/1bacafb069ce/usg-22004f13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/9532205/ea7114331eca/usg-22004f14.jpg

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