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宫、腹腔镜在剖宫产子宫切口瘢痕缺陷治疗中的应用 被引量：1

Laparoscopy or Hysteroscopy for Previous Cesarean scar Defect
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摘要 目的探讨宫、腹腔镜治疗剖宫产子宫切开瘢痕缺陷（PreviousCesareanScarDefectPCSD））的可行性及价值。方法回顾性分析2011年1月—2011年12月该院行宫、腹腔镜下PCSD治疗的27例资料,术前均用宫腔镜检查确诊为PCSD且药物保守治疗无效,22例宫腔镜下PCSD病灶切除;余5例采用腹腔镜下PCSD修补术。结果 27例均治疗成功,无并发症发生。术后正常月经来潮时间20~40d,持2~8d;1例宫腔镜手术后再次妊娠。结论宫、腹腔镜下治疗PCSD是PCSD微创治疗的可行方法。 Objective To explore the feasibility and value of hysteroscopy or laparoscopy for the treatment of previous cesarean scar defect.Methods：We retrospectively analyzed the data of 27 cases of PCSD who received hysteroscopy or laparoscopy in our hospital since January to Dovember 2011,All of them were diagnosed and treated failed by medical before Hysteroscopy; Among the cases,Hysteroscopy were performed on 22 patients, the other 5 patients underwent Laparoscopy. Results： The procedures were completed successfully in all the cases without aacomplications. The patients recovered normal menses in 20 to 40 days. In the 27 cases of hysteroscopy,1 patient had pregnancy again. Conclusion： Hysteroscopic and laparoscopic excision is feasible for PCSD.
作者 李晓云 袁迎九
机构地区 深圳市龙岗区妇幼保健院
出处 《中外医疗》 2013年第12期39-40,共2页 China & Foreign Medical Treatment
关键词 剖宫产子宫切开瘢痕缺陷 宫腔镜 腹腔镜 Previous cesarean scar defect Hysteroscopy Laparoscopy
分类号 R713 [医药卫生—妇产科学]
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参考文献8

  • 1Gubbini G,Casadio P, Marra E.Resectoscopic correction of the "isthmocele" in women with postmenstrual abnormal uterine bleeding and secondary infertility[J]. J Minim Invasive Gynecol,2008, 15(2):172-175.
  • 2Chang Y, Tsai EM, Long CY, et al.Resectoscopic treatment combined with sonohysterographic evaluation of women with postmenstrual bleeding as a result of previous cesarean delivery scar defects[J].Am J Obstet Gynecol, 2009, 200(4):370.
  • 3Fabres C, Arriagada P,Fernandez C, et al.Surgical treatment and follow- up of women with intermenstrual bleeding due to cesarean section scar defect[J].J Minim Invasive Gynecol, 2005,12 (1):25-28.
  • 4Wang CB, Chiu WW, Lee CY, et al. Cesarean scar defect: correlation between cesarean section number, defect size, clinical symptoms and uterine position[J].Ultrasound Obstet Gynecol, 2009, 34(1): 85-89.
  • 5Osser OV, Jokubkiene L,Valentin L.High prevalence of defects in cesarean section scars at transvaginal ultrasound examination[J].Uhrasound Obstet Gynecol, 2009, 34(1): 90-97.
  • 6Yazicioglu F, G kdogan A, Kelekci S, et al. Incomplete healing of the uterine incision after caesarean section: Is it preventable[J]. Eur J Obstct Gynecol Reprod Biol, 2006, 124(1): 32-36.
  • 7Van Horenbeeck A,Temmerman M,Dhont M.Cesarean scar dehiscence and irregular uterine bleeding [J].Obstet Gynecol,2003,102 (5Pt2): 1137 - 1139.
  • 8徐大宝,何亚琼,刘慧,万亚军,薛敏.宫腔镜手术治疗剖宫产子宫切口瘢痕缺陷[J].南方医科大学学报,2010,30(2):394-396. 被引量：61

二级参考文献13

  • 1Gubbini G, Casadio P, Marra E. Resectoscopic correction oft.he "isthmocele" in women with postmenstrual abnormal uterine bleeding and secondary infertility 2008, 15(2): 172-5.
  • 2Chang Y, Tsai EM, Long CY, et al. Resectoscopic treatment combined with sonohysterographic evaluation of women with postmenstrual bleeding as a result of Previous cesarean delivery scar defects[J]. Am J Obstet Gynecol, 2009, 200(4): 370.e1-4.
  • 3Fabres C, Arriagada P, Femendez C, et al. Surgical treatment and follow-up of women with intermenstrual bleeding due to cesarean section scar defect [J]. J Minim Invasive Gynecol, 2005, 12(1): 25-8.
  • 4Morris H. Surgical pathology of the lower uterine segment caesarean section scar: is the scar a source of clinical symptoms [J]? Int J Gynecol Pathol, 1995, 14(1): 16-20.
  • 5Van Horenbeeck A, Temmerman M, Dhont M. Cesarean scar dehiscence and irregular uterine bleeding [ J ]. Obstet Gyneeol, 2003, 102(5 Pt 2): 1137-9.
  • 6Fabres C, Aviles G, De La Jara C, et al. The cesarean delivery scar pouch: clinical implications and diagnostic correlation between transvaginal sonography and hysteroscopy [J]. J Ultrasound Med, 2003, 22(7): 695-700.
  • 7Thurmond AS, Harvey WJ, Smith SA. Cesarean section sear as a cause of abnormal vaginal bleeding: diagnosis by sonohysterography[J ]. J Ultrasound Med, 1999, 18(1): 13-6.
  • 8Tahara M, Shimizu T, Shimoura H. Preliminary report of treatment with oral contraceptive pills for intermenstrual vaginal bleeding secondary to a cesarean section scar E J]. Fertil Steril, 2006, 86(2): 477-9.
  • 9Klemm P, Koehler C, Mangier M, et al. Laparoscopic and vaginal repair of uterine scar dehiscence following cesarean section as detected by ultrasound[ J ]. J Perinat Med, 2005, 33(4): 324-31.
  • 10Donnez O, Jadoul P, Squifflet J, et al. Laparoscopic repair of wide and deep uterine scar dehiscence aider cesarean section [J]. Fertil Steril, 2008, 89(4): 974-80.

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中外医疗
2013年 第12期

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