剖宫产术后子宫切口憩室流行病学特征及其影响因素的研究进展被引量：20

Research progress of epidemiological characteristics and influencing factors of cesarean scar defect after cesarean section

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摘要随着剖宫产率的持续上升,其并发症之一剖宫产术后子宫切口憩室的发病率也随之增高。目前对子宫切口憩室的诊断方法无统一标准,发病率及患病率均不明确。影响其发生的可能因素包括剖宫产史、产程相关因素、子宫形态、缝合技术、免疫及炎症相关因素等。进一步研究子宫切口憩室的流行病学对预防、治疗及改善预后有显著意义。 With the rising rate of cesarean section(C S),the presence of a niche at the site of a CS scar,one of the potential long-term morbidity of CS,has also been increasingly observed.Currently,there are no standard diagnostic methods for evaluating cesarean scar defect(CSD).The incidence and prevalence of CSD are also not well established.Risk factors of CSD occurrence include history of CS?factors affecting labor,uterine position?closure technique,and factors related to immunity and inflammation.It is important to further study the epidemiology of CSD in order to prevent,treat and improve prognosis of CSD.

作者王珏杜琰华克勤张宏伟 WANG Jue;DU Yan;HUA Ke-qin;ZHANG Hong-wei(Department of Epidemiology,Second Military Medical University,Shanghai 200433,China;Office of Clinical Epidemiology,Obstetrics and Gynecology Hospital,Fudan University,Shanghai 200011,China;Department of Gynecology,Obstetrics and Gynecology Hospital,Fudan University,Shanghai 200011,China)

机构地区第二军医大学流行病学教研室复旦大学附属妇产科医院临床流行病学研究室复旦大学附属妇产科医院妇科

出处《复旦学报（医学版）》 CAS CSCD 北大核心 2018年第2期271-276,共6页 Fudan University Journal of Medical Sciences

关键词剖宫产术子宫切口憩室流行病学危险因素 cesarean section cesarean scar defect epidemiology risk factors

分类号 R713.4 [医药卫生—妇产科学]

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1田晓波,吴久玲,李伯华,覃民,齐嘉楠.1978-2010年我国40个县剖宫产率及相关因素[J].中华预防医学杂志,2014,48(5):391-395. 被引量：22
2丁景新,陈建亮,张宏伟,冯炜炜,易晓芳,张旭垠,朱芝玲,张绍芬,华克勤.宫腹腔镜联合修补剖宫产术后子宫切口憩室[J].复旦学报（医学版）,2012,39(5):506-510. 被引量：115
3苏翠红,李笑天.剖宫产子宫切口憩室的诊疗进展[J].实用妇产科杂志,2013,29(4):262-264. 被引量：81

二级参考文献41

1姬萍.无剖宫产指征孕妇选择剖宫产原因的质性研究[J].中华护理杂志,2006,41(12):1061-1064. 被引量：70
2Klemm P,Koehler C, Mangler M, et al. Laparoscopic and vaginal repair of uterine scar dehiscence following cesarean section as detected by ultrasound[J].J Perinat Med,2005,33(1) :324 - 331.
3Donnez O, Jadoul P, Squifflet J, et al. Laparoscopic repair of wide and deep uterine scar dehiscence after cesarean section[J]. Fetil Steri1,2008,89(4) :974 - 980.
4Chauhan SP, Magann EF, Wiggs CD, el al. Pregnangcy after classic cesarean delivery[J]. Obstet Gynecol, 2002, 100(5pt1) :946 - 950.
5SurapaneniK, Silberzweig JE. Cesarean section scar diverticulum; appearance on hysterosalpingography [J]. A JR Am J Roentgeno1,2008,190(4) :870 - 874.
6Regnard C,Nosbusch M, Fellemans C, et al. Cesarean section scar evaluation by saline contrast sonohysterography[J]. Ultrasound Obstet G ynecot , 2004, 23(3) :289 - 292.
7Thurmond AS, Harvey WJ, Smith SA. Cesarean section scar as a cause of abnormal vaginal bleeding: diagnosis by sonohysterography[J]. J Ultra.round ivied, 1999, 18 ( 1 ) : 13 - 16.
8Fabres 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.
9Yazicioglu F,Gokdogan A, Kelekei S, et al. Incomplete healing of the uterine incision after cesarean section: is it preventable? [J]. Eur J Obstet Gynecol Reprod Bio, 2006,124(1) :32- 36.
10Wang CJ,Huang HJ, Chao A, et al. Chanllenges in the transvaginal management of abnormal uterine bleeding secondary to cesarean section scar defeet[J]. Eur J Obstet Gynecol Reprod Bio ,2011,154(2) :218 - 222.