【Abstract】 ObjectiveTo explore the clinical value of ultrasonic evaluation and ultrasoundguided treatment for hematoma and abscess after cesarean. MethodsIn 32 patients from our hospital, liquidlike masses of pelvic cavity or parauterine were found by ultrasound after cesarean. The masses were divided into hematoma, abscess or encapsulated effusion after the ultrasonic images were assessed. Either ultrasoundguided catheter drainage or observation by ultrasound during followup was performed according to the assessment. Resultsof 32 cases, 10 cases, 18 cases and 4 cases were assessed as abscess, hematoma and encapsulated effusion by ultrasound, respectively. of 20 patients undergoing ultrasoundguided catheter drainage, 10 patients were identified as abscess and 10 patients as hematoma. The duration of continuous drainage by indwelling tube was （10±4）d. Of the other 12 patients observed by ultrasound during 6week followup, 1 patient suffered from fever, abdominal pain and increasing mass at the 2nd week, and hematodes purulence was found by the catheter drainage. And the masses diminished to varying degrees or vanished in the remaining 11 cases. ConclusionClassification is performed by the assessment of ultrasonic images, then ultrasoundguided catheter drainage or observation by ultrasound during followup is conducted according to the classification. That is a safe, timely and effective therapeutic model for the complications (hematoma and abscess)after cesarean, and is worthy of clinical promotion.

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