摘要
目的探讨剖宫产术后子宫瘢痕憩室(CSD)再次妊娠孕妇的不良结局及风险因素。方法60例CSD再次妊娠孕妇根据子宫破裂发生情况分为破裂组与未破裂组,分析影响CSD再次妊娠孕妇发生子宫破裂的因素。结果破裂组的妊娠晚期子宫下段厚度小于未破裂组,憩室深度/邻近肌层厚度≥50%、RMT≤2.2mm、憩室深度/RMT>1.3占比均高于未破裂组(P<0.05)。Logistic回归分析显示妊娠晚期子宫下段厚度薄及憩室深度/RMT>1.3为CSD子宫破裂的独立危险因素。妊娠晚期子宫下段厚度、憩室深度/RMT>1.3联合预测CSD再次妊娠产妇子宫破裂的AUC为0.991。结论妊娠晚期子宫下段厚度薄、憩室深度/RMT>1.3的CSD再次妊娠孕妇发生子宫破裂的风险较高,二者联合预测子宫破裂的价值较高。
Objective To explore the adverse outcomes and risk factors of re-pregnant women with cesarean scar diverticulum(CSD)after cesarean section.Methods 60 cases of re-pregnant women with CSD were divided into rupture group and non-rupture group according to the occurrence of uterine rupture,and the factors affecting the occurrence of uterine rupture in re-pregnant women with CSD were analyzed.Results The thickness of lower uterine segment in late pregnancy in the rupture group was smaller than that in the non-rupture group,and the proportions of diverticulum depth/adjacent muscle thickness≥50%,RMT≤2.2 mm and diverticulum depth/RMT>1.3 were higher than those in the non-rupture group(P<0.05).Logistic regression analysis showed that the thin thickness oflower uterine segment in late pregnancy and diverticulum depth/RMT>1.3 were independent risk factors for CSD uterine rupture.The A UC of combined prediction of the thickness of lower uterine segment in late pregnancy and diverticulum depth/RMT>1.3 for uterine rupture in re-pregnant women with CSD was 0.991.Conclusions Re-pregnant women with CSD who have thin thickness of lower uterine segment in late pregnancy and diverticulum depth/RMT>1.3 have higher occurrence risk of uterine rupture.The combination of the two has higher value in predicting uterine rupture.
作者
张艳玲
王喜红
ZHANG Yanling;WANG Xihong(Department of Obstetrics and Gynecology,Qixian Maternal and Child Health and Family Planning Service Center,Hebi 456750,China)
出处
《临床医学工程》
2023年第8期1165-1166,共2页
Clinical Medicine & Engineering
关键词
剖宫产
子宫瘢痕憩室
再次妊娠
不良结局
风险因素
Cesarean section
Cesarean scar diverticulum
Re-pregnancy
Adverse outcomes
Risk factor
