文章摘要
马莹莹,何莲芝.剖宫产术后子宫瘢痕憩室的诊治进展[J].安徽医药,2018,22(1):21-23.
剖宫产术后子宫瘢痕憩室的诊治进展
The diagnosis and treatment of post-cesarean section scar defect
投稿时间:2016-10-21  
DOI:
中文关键词: 子宫瘢痕憩室  保守治疗  腹腔镜  宫腔镜  阴式手术
英文关键词: cesarean scar defect  conservative treatment  laparoscopic surgery  hysteroscopic surgery  vaginal surgery
基金项目:
作者单位E-mail
马莹莹 皖南医学院弋矶山医院妇产科,安徽 芜湖 241000
芜湖市第二人民医院妇产科,安徽 芜湖 241000 
 
何莲芝 皖南医学院弋矶山医院妇产科,安徽 芜湖 241000 42909433@qq.com 
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中文摘要:
      随着剖宫产率的居高不下,剖宫产术后子宫瘢痕处憩室(CSD)的发生率随之升高,往往以经期延长的月经紊乱,或瘢痕妊娠,不孕等情况就诊发现。可严重影响生活质量,甚至危及生命。CSD早期无症状时常被忽略,依靠影像学检查,如:B超(阴超更佳)、宫腔镜、磁共振等诊断。目前治疗上没有形成确定的定论,仍存在争议,主要是激素保守治疗和手术治疗等。现将CSD的发病机制,诊治方案做如下综述。
英文摘要:
      Along with the high cesarean section rate,the incidence of cesarean scar defect (CSD) is rising year by year,which was often indicated by menstrual disorders with prolonged menstrual period,scar pregnancy,or infertility,and so on.The disease can seriously affect the quality of life,and even result in death.CSD may be ignored because of no typical clinical manifestations at its early stage.Clinical diagnosis of CSD mainly relies on auxiliary examination such as ultrasonography (transvaginal ultrasonography was applied most widely),hysteroscopy,and MRI.Guidelines for the treatment of CSD are unclear.Currently,the two major treatment options are conservative treatment which combines estrogen and progesterone therapies and surgical repair of the diverticulum.Pathogenesis,diagnosis and treatment schemes of CSD are reviewed in this article.
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