中国实用妇科与产科杂志2018，Vol.34Issue(8)：865-869,5.DOI:10.19538/j.fk2018080110
剖宫产子宫切口瘢痕缺陷的宫腔镜手术治疗
Hysteroscopic surgery treatment for cesarean scar diverticulum
李旺 1邹凌霄 1潘琼 1覃娴 1Arvind Burjoo 1万亚军 1徐大宝1
作者信息
- 1. 中南大学湘雅三医院妇产科,湖南 长沙 410013
- 折叠
摘要
Abstract
Cesarean scar diverticulum (CSD) is one of the long-term complications after cesarean section, and it is formed by poor healing of the uterine incision in cesarean section.The reasons for its formation are complicated.There are many misunderstandings about CSD.The treatment for CSD is not needed for the asymptomatic CSD generally, however, it varies when it comes to the symptomatic CSD.Therefore, how to choose the appropriate treatment for CSD is not only related to the understanding of gynecologists but also directly affects its therapeutic efficacy.There is a special type of CSD that has a flap at the lower edge of the incision scar that prevents the menstrual blood flowing out of the diverticulum due to the flap action, causing symptoms (usually prolonged menstruation).The asynchronism of the growth of ectopic endometrium in the diverticulum and the eutopic endometrium in the uterine cavity may also lead to abnormal vaginal bleeding.Nowadays, academic community has a professional term for this particular type of CSDs, that is the previous cesarean scar defect (PCSD).For the PCSDs whose residual muscular layer is thick enough, hysteroscopic resection of the valve located at the lower edge of the cesarean scar and coagulation of the ectopic endometrium in the diverticulum may achieve therapeutic efficacy.For the CSDs without the characteristics of PCSD, hysteroscopic surgery is less effective, and hysteroscopic surgery is generally not recommended.This article will elaborate on the issues related to hysteroscopic surgery for PCSD.关键词
异常子宫出血/并发症/剖宫产子宫切口瘢痕憩室/剖宫产子宫切口瘢痕缺陷Key words
abnormal uterine bleeding/complications/cesarean scar diverticulum/previous cesarean scar defect分类
医药卫生引用本文复制引用
李旺,邹凌霄,潘琼,覃娴,Arvind Burjoo,万亚军,徐大宝..剖宫产子宫切口瘢痕缺陷的宫腔镜手术治疗[J].中国实用妇科与产科杂志,2018,34(8):865-869,5.
