剖宫产后子宫瘢痕憩室形成因素的研究进展

Research Progress on the Formation Factors of Cesarean Scar Diverticula

剖宫产后子宫瘢痕憩室(cesarean scar diverticula,CSD)是继发于剖宫产的一种妇科疾病,指剖宫产术后子宫切口肌层愈合不良,在子宫峡部出现突向浆膜层,并与宫腔相通的一个囊状缺陷,导致异常子宫出血、慢性盆腔痛、瘢痕妊娠、胎盘植入,甚至再次妊娠子宫破裂等严重并发症。目前CSD形成因素尚未完全阐明,可能与剖宫产切口位置、手术缝合、感染、妊娠合并症或并发症等多种因素相关。现对CSD形成因素进行综述,为减少CSD发生提供理论依据。

Cesarean scar diverticula(CSD)is a new gynecological disease secondary to cesarean section.It refers to the poor healing of myometrium of uterine incision after cesarean section.A cystic defect protruding to the serosa layer in the isthmus of uterus and communicating with the uterine cavity leads to serious complications such as abnormal uterine bleeding,chronic pelvic pain,scar pregnancy,placenta implantation,and even uterine rupture in pregnancy again.At present,the formation factors of CSD have not been fully elucidated,which may be related to cesarean section incision position,surgical suture,infection,pregnancy complications or complications.This paper reviews the formation factors of CSD to provide theoretical basis for reducing the occurrence of CSD.