Paper - WANFANG MED ONLINE

You Position: Home > Paper

子宫切口瘢痕憩室的研究进展

( views:1174, downloads:1770 )

Author:: No author available

Journal Title:: Chinese Journal of Obstetrics and Gynecology

Issue:: 1

DOI:: 10.3760/cma.j.issn.0529-567x.2014.01.019

Key Word:: No keyword available

Abstract：子宫切口瘢痕憩室(cesarean scar diverticulum)又称剖宫产术后子宫瘢痕缺损(previous cesarean scar defect,PCSD)是最近被认识和描述的剖宫产术后的远期并发症,是引起剖宫产术后阴道异常流血的最常见原因,严重影响妇女的身体健康和生命质量,其发病机制还不清楚,诊断及治疗手段也不统一[1].近年来,随着剖宫产率的不断升高,以阴道异常流血而就诊的病例越来越多,PCSD作为一个新的临床问题,越来越受到社会和妇产科医师的关注.但是,目前大部分医师尤其是基层医师由于对PCSD缺乏认识而常常忽略;因此,本文就该病的症状、病理、诊断及治疗等方面的研究成果综述如下,旨在提高对该病的认识,为将来制定统一的分级标准及与此相关的治疗方案提供参考.

Reference

[1]FENG Shu-ying,陈立斌,HUANG Li-juan,等.剖宫产切口宫壁缺损的宫腔镜诊断（附48例分析）[J].2008,(7).
[2]徐大宝,何亚琼,刘慧,等.宫腔镜手术治疗剖宫产子宫切口瘢痕缺陷[J].2010,(2).
[3]Tower, A. M.,Frishman, G. N..Cesarean Scar Defects: An Underrecognized Cause of Abnormal Uterine Bleeding and Other Gynecologic Complications[J].2013,20(5).
[4]Hong-zhe Xie,Shu-zhong Yao,Lu Luo,etc.Vaginal repair of cesarean section scar diverticula.[J].2012,19(4).
[5]Casadio P,Gubbini G,Marra E.Resectoscopic correction of the "isthmocele" in women with postmenstrual abnormal uterine bleeding and secondary infertility.[J].2008,15(2).
[6]Vikhareva Osser O,Valentin L.Risk factors for incomplete healing of the uterine incision after caesarean section.[J].2010,117(9).
[7]Chao Lan Shih,Yin Yi Chang,Ming Ho,etc.Hysteroscopic transcervical resection: A straightforward method corrects bleeding related to cesarean section scar defects[J].2011,204(3).
[8]L.E. Garcia,S. Morris,K. Isaacson.Adenomyosis: Risk Factors and Diagnosis[J].2011,18(Supplement).
[9]Arriagada P,Mackenna A,Fernandez E,etc.Surgical treatment and follow-up of women with intermenstrual bleeding due to cesarean section scar defect.[J].2005,12(1).
[10]Osser OV,Valentin L,Jokubkiene L.High prevalence of defects in Cesarean section scars at transvaginal ultrasound examination.[J].2009,34(1).
[11]Sawyer E,Lee C,Ofili-Yebovi D,etc.Deficient lower-segment Cesarean section scars: prevalence and risk factors.[J].2008,31(1).
[12]Ya-Ling Feng,Meng-Xiong Li,Xiao-qin Liang,etc.Hysteroscopic treatment of postcesarean scar defect.[J].2012,19(4).
[13]Mangler M,Schneider U,Koehler C,etc.Laparoscopic and vaginal repair of uterine scar dehiscence following cesarean section as detected by ultrasound.[J].2005,33(4).
[14]Mongelli M,Uppal T,Lanzarone V.Sonographically detected caesarean section scar defects and menstrual irregularity.[J].2011,31(5).
[15]Fabres C,Mackenna A,Zegers Hochschild F,etc.The cesarean delivery scar pouch: clinical implications and diagnostic correlation between transvaginal sonography and hysteroscopy.[J].2003,22(7).
[16]Lippi UG,Coelho Lopes RG,Borges LM,etc.Findings in patients with postmenstrual spotting with prior cesarean section.[J].2010,17(3).
[17]Donnez J,Jadoul P,Squifflet J,etc.Laparoscopic repair of wide and deep uterine scar dehiscence after cesarean section.[J].2008,89(4).
[18]Thurmond AS,Harvey WJ,Smith SA.Cesarean section scar as a cause of abnormal vaginal bleeding: diagnosis by sonohysterography.[J].1999,18(1).
[19]Gubbini G,Centini G,Nascetti D,etc.Surgical hysteroscopic treatment of cesarean-induced isthmocele in restoring fertility: prospective study.[J].2011,18(2).