国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (6): 646-649.

• 综述 • 上一篇    下一篇

剖宫产术后子宫切口憩室的诊断与治疗

许啸声，喇端端   

  1. 200025 上海交通大学医学院附属瑞金医院妇产科 上海市微创外科临床医学中心
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-12-15 发布日期:2014-12-15
  • 通讯作者: 喇端端

The Diagnosis and Treatment of Previous Cesarean Uterine Incision Diverticulum

XU Xiao-sheng，LA Duan-duan   

  1. Shanghai Minimally Invasive Surgery Center，Department of Obstetrics and Gynecology，Ruijin Hospital，Shanghai Jiao Tong University School of Medicine，Shanghai 200025，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-12-15 Online:2014-12-15
  • Contact: LA Duan-duan

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摘要： 剖宫产术后子宫切口憩室是剖宫产术后罕见的并发症。子宫切口憩室不仅会引起月经淋漓不尽、不孕和慢性下腹痛等症状，更可能在再次妊娠时出现妊娠期或分娩期的子宫破裂，造成严重不良影响。近年来随着剖宫产率的上升、临床医师对该疾病了解的增加以及影像学技术和微创技术的发展，诊断为剖宫产术后子宫切口憩室的病例逐渐增多。本文介绍剖宫产术后子宫切口憩室的发生原因、临床表现以及诊断方法，并对该疾病的治疗方法和最新进展进行归纳，但目前对于剖宫产术后子宫憩室的形成原因、诊断和治疗仍需要大规模样本及多中心研究。因此，临床应严格把握剖宫产的手术指征，以降低剖宫产术后子宫切口憩室的发生。

关键词: 剖宫产术, 憩室, 腹腔镜检查, 宫腔镜检查, 诊断, 治疗

Abstract: Cesarean incision diverticulum is a rare complication after cesarean section，which could cause irregular uterine bleeding，infertility，chronic pelvic pain，or more likely uterine rupture during pregnancy or childbirth. In recent years，as increase of cesarean section rate，improvement in the clinician′s recognition to this disease，development of imaging and minimally invasive technology，more cases have been confirmed. After introduced the pathogenesis，clinical manifestation and diagnosis of uterine scar defect after cesarean section，the article presented the treatment and latest development of this disease. However，additional and large longitudinal samples and multi-center′s randomized controlled trial are definitely needed. In order to reduce the incidence of uterine scar defect，the cesarean section indication should be strictly controlled.

Key words: Cesarean section, Diverticulum, Laparoscopy, Hysteroscopy, Diagnosis, Therapy