[1]郭银树①,段华,张颖,等.宫腔镜联合B超及腹腔镜在剖宫产切口憩室诊治中的应用[J].中国微创外科杂志,2011,11(11):1019-1021.
　Guo Yinshu,Duan Hua,Zhang Ying,et al.Hysteroscopy Combined with Ultrasonography and Laparoscopy in the Diagnosis and Treatment of Cesarean Scar Dehiscence[J].Chinese Journal of Minimally Invasive Surgery,2011,11(11):1019-1021.
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宫腔镜联合B超及腹腔镜在剖宫产切口憩室诊治中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
11
期数:
2011年11期
页码:
1019-1021
栏目:
短篇论著
出版日期:
2011-11-20

文章信息/Info

Title:
Hysteroscopy Combined with Ultrasonography and Laparoscopy in the Diagnosis and Treatment of Cesarean Scar Dehiscence
作者:
郭银树①; 段华; 张颖; 彭燕蓁; 李长东; 王燕
首都医科大学附属北京妇产医院妇科微创中心，北京100006
Author(s):
Guo Yinshu;  Duan Hua;  Zhang Ying;  et al.
Department of Minimally Invasive Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University,Beijing 100006,China
关键词:
腹腔镜; 宫腔镜; 剖宫产切口憩室
Keywords:
Laparoscopy; Hysteroscopy; Cesarean scar dehiscence
分类号:
R713.4
文献标志码:
A
摘要:
2008年6月~2009年10月收治5例剖宫产切口憩室，均表现为末次剖宫产复经后经期延长至15~26 d。5例均经宫腔镜联合B超检查确诊，宫腔镜见宫颈内口上方子宫下段剖宫产切口部位局部缺损呈拱形穹隆样改变，凸向子宫浆膜面，伴局部血管增生，腔内可见陈旧积血，联合超声下可见子宫下段前壁剖宫产切口部位浆膜层连续而肌层不连续，出现“断裂”现象，其内出现无回声区。行腹腔镜下憩室切除子宫缝合修补术。手术时间（60.0±7.9）min。术中出血量10~20 ml。无中转开腹及手术并发症。术后随访3～19个月，异常阴道出血症状均消失，月经规律，宫腔镜联合B超二探测量子宫下段剖宫产处肌壁厚度由术前（2.6±0.5）mm增至术后（10.5±1.3）mm。
Abstract:
The aim of this retrospective study was to analyze 5 cases of scar dehiscence after cesarean section, who accepted the operation in our department from June 2008 to October 2009. All the cases had suffered from abnormal uterine bleeding and extended menstrual period to 15 to 26 days. These cases were diagnosed by hysteroscopy combined with Bultrasonography, which showed an arched domelike defect in the cesarean scar protruding to the uterine serosa, with local angiogenesis and darkred blood inside. Ultrasonography discovered “fracture” phenomenon in the lower anterior uterine wall in each of the patients. Laparoscopic operation was finished in (60.0±7.9) min with less than 20 ml intraoperative blood loss. All the cases recovered without perioperative complications. After a 3 to 19 months followedup, abnormal vaginal bleeding symptoms disappeared, menstrual returned to regularity in all the cases, and hysteroscopic examination combined with Bultrasonography in 3 months showed that the lower anterior uterine wall was thickened from the preoperative (2.6±0.5) mm to postoperative (10.5±1.3) mm in the original dehiscence.

参考文献/References:

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备注/Memo

备注/Memo:
王燕通讯作者，Email：wangyan@bjmu.edu.cn ①（北京大学公共卫生学院，北京100191）
更新日期/Last Update: 2013-05-06