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剖宫产子宫切口瘢痕缺陷三例及文献复习 被引量：22

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摘要 一、病例摘要 病例1：患者34岁,因二次剖宫产术后5年余,经期进行性延长5年于2010年4月10日入院。患者分别于2000年、2005年因＂骨盆狭窄＂行剖宫产,第二次剖宫产术中出血较多,具体情况不详,术后反复少量阴道出血,B超提示子宫切口血肿,经积极治疗后血肿消失,症状消失。恢复月经后经期由剖宫产术前的5～6d延长至术后的12～13d,无腹痛、痛经,近3～4年以来症状较以前加重,经期延长至15～20d,月经周期无明显改变。曾多次在外院就诊,诊刮3次,
作者 郭久柏 苏家林 王知君
机构地区 江西省妇幼保健院妇科 江西省弋阳县中畈中心医院
出处 《中国妇产科临床杂志》 2012年第4期306-308,共3页 Chinese Journal of Clinical Obstetrics and Gynecology
关键词 剖宫产术后 子宫切口瘢痕 文献复习 缺陷 子宫切口血肿 病例摘要 剖宫产术中 骨盆狭窄
分类号 R714.2 [医药卫生—妇产科学]
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参考文献16

  • 1Gubbini G, Casadio P, Marra E. Resectoscopic correction of the isthmocele in women with postmenstrual abnormal uterine bleeding and secondary infertility. J Minim Invasive Gynecol, 2008, 15: 172-175.
  • 2Stewart KS, Evans TW. Recurrent bleeding from the lower segment scar- a late complication of caesarean section. Br J Obstet Gynaecol, 1975, 82: 682-686.
  • 3Wang CB, Chiu WW, I.ee CY, et al. Cesarean scar defect: correlation between cesarean section number, defect size, clinical symptoms and uterine position. Ultrasound Obstet Gyneeol, 2009, 34.- 85-89.
  • 4Fabres C, Arriagada P, Ferndndez C, et al. Surgical treat- ment and follow-up of women with intermenstrual bleeding due to cesarean section sear defect. J Minim Invasive Gyne- col, 2005, 12: 25-28.
  • 5van Horenbeeck A, Temmerman M, Dhont M. Cesarean scar dehiscence and irregular uterine bleeding. Obstet Gyne- col, 2003, 102: 1137-1139.
  • 6Fabres C, Aviles G, de La Jara C, et al. The cesarean deliv- ery scar pouch: clinical implications and diagnostic correlation between transvaginal sonography and hysteroscopy. J Ultra- sound Med, 2003, 22: 695-702.
  • 7Morris H. Surgical pathology of the lower uterine segment caesarean section scar: is the scar a source of clinical symp- toms? IntJGynecolPathol, 1995, 14: 16-20.
  • 8Thurmond AS, Harvey WJ, Smith SA. Cesarean section scar as a cause of abnormal vaginal bleeding: diagnosis by so- nohysterography. J Uitrasound Med, 1999, 18: 13-18.
  • 9Monteagudo A, Carreno C, Timor Tritsch IE. Saline infu- sion sonohysterography in nonpregnant women with previous cesarean delivery: the "niche" in the scar. J Ultrasound Med, 2001, 20: 1105-1115.
  • 10Tahara M, Shimizu T, Shimoura H. Preliminary report of treatment with oral contraceptive pills for intermenstrual va- ginal bleeding secondary to a cesarean section scar. Fertil Steril, 2006, 86: 477-479.

二级参考文献19

  • 1唐小玲,田艾军,谌立军,杨红琳,蒋晓光.经阴道超声诊断子宫切口假腔的临床价值[J].中国现代医学杂志,2007,17(6):750-751. 被引量：21
  • 2Gubbini 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.
  • 3Chang 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.
  • 4Fabres 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.
  • 5Morris 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.
  • 6Van Horenbeeck A, Temmerman M, Dhont M. Cesarean scar dehiscence and irregular uterine bleeding [ J ]. Obstet Gyneeol, 2003, 102(5 Pt 2): 1137-9.
  • 7Fabres 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.
  • 8Thurmond 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.
  • 9Tahara 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.
  • 10Klemm 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.

共引文献70

同被引文献149

引证文献22

二级引证文献115

中国妇产科临床杂志
2012年 第4期

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