剖宫产术后生态位

M. El-Gharib
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引用次数: 0

摘要

子宫壁龛,又称剖宫产瘢痕缺损,或剖宫产瘢痕裂开、子宫憩室、子宫囊积或峡部隆起。这是一种人造的囊状缺损的子宫前峡发生在以前剖宫产的地方。近年来,随着剖宫产率的增加,其发生率也有所增加。许多峡部囊肿患者是无症状的。最常见的抱怨是间歇性的经后出血,因为峡部在月经期间具有收集血液的功能,月经不规律可持续2至12天。各种来源都描述峡部囊肿为不孕症,疼痛和痛经的情况。峡部囊肿通常通过阴道超声、子宫输卵管造影和宫腔镜诊断。磁共振断层扫描可用于测量子宫下段的厚度和峡部的深度。峡部膨出的治疗包括剖腹、腹腔镜、宫腔镜、阴道修复和几种联合技术,文献中没有统计学上的优越结果。在这方面,没有治疗峡部裂的金标准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Niche After Cesarean Section
A uterine niche, also calld cesarean scar defect, or cesarean scar dehiscence, uterine diverticulum, uterine sacculation or isthmocele. It is a man made pouchlike defect of the anterior uterine isthmus occurs at the site of a prior cesarean section. Its occurrence has been increased in the last years secondary to the increased incidence of cesarean section. Many patients with isthmocele are asymptomatic. The most frequent complaint relates to intermittent postmenstrual bleeding as the isthmocele functions as a reservoir collecting blood during menstruation, with irregular menses that can run for 2 to 12 days. Various sources have described isthmocele as a case of infertility, pain and dysmenorrhea. An isthmocele is typically diagnosed on transvaginal sonography, hysterosalpinography and hysteroscopy. Magnetic resonance tomography is useful to measure the thickness of the lower uterine segment, the profundity of the isthmocele. The treatment of isthmocele includes laparotomy, laparoscopy, hysteroscopy, vaginal repair, and several combined techniques with no statistically superior outcome noted in the literature. In that respect is no gold standard treatment for isthmocele.
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