剖宫产子宫瘢痕缺损的评估及再次妊娠的孕期监测  

作　　者：韩振艳[1] 侯红瑛[1] 

机构地区：[1]中山大学附属第三医院产科,广州510630

出　　处：《中华产科急救电子杂志》2020年第4期217-221,共5页Chinese Journal of Obstetric Emergency（Electronic Edition）

摘　　要：剖宫产子宫瘢痕缺损是剖宫产术后最常见的远期并发症,主要通过阴道超声或宫腔声学超声造影来诊断和评估,其独立危险因素包括多次剖宫产史、子宫切口过低及后屈子宫。剖宫产子宫瘢痕缺损再次妊娠后,早孕期应通过阴道超声排除瘢痕妊娠;中晚孕期应关注子宫下段瘢痕及胎盘附着情况,以早期发现子宫破裂、前置胎盘及胎盘植入性疾病等并发症。Cesarean scar defect is the most common long-term complication after cesarean section,and its diagnosis and assessment mainly through transvaginal ultrasound and sonohysterography.The independent nisk factors include multiple cesarean sections,lower cesarean incision and retroflexed uterus.During subsequent pregnancy,an early transvaginal ultrasound is necessary to rule out the cesarean scar pregnancy.In the second and third trimester,more attention should be paid to uterine scar condition and placenta adherence,in order to early identify uterine rupture,placenta previa and placenta accreta spectrum disorders.

关 键 词：剖宫产术 瘢痕 子宫破裂 妊娠 

分 类 号：R714.2[医药卫生—妇产科学]