再生育需求女性剖宫产疤痕憩室诊治进展  

Progress in the study of cesarean scar diverticulum in women with re⁃fertility requirement

作　　者：周耘冰 蒋雨芯 孙莹 戴辉华 ZHOU Yunbing;JIANG Yuxin;SUN Ying;DAI Huihua(Department of Gynecology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210036,China)

机构地区：[1]南京医科大学第一附属医院妇科,江苏南京210036

出　　处：《南京医科大学学报(自然科学版)》2025年第2期271-277,共7页Journal of Nanjing Medical University(Natural Sciences)

基　　金：国家自然科学基金青年项目(82303547);江苏省卫生健康委科研面上项目(M2022078)。

摘　　要：剖宫产瘢痕憩室(cesarean scar diverticulum,CSD)是剖宫产手术的远期并发症之一,可引起异常月经模式、慢性盆腔痛等症状,严重影响患者的生活质量。目前国内外对CSD尚无统一的诊治标准,手术治疗是有再生育需求患者的首选治疗方式,但具体术式的选择、不同术式对后续生育能力的影响仍存在争议。文章总结近5年来国内外学者对CSD的研究结果,就CSD的形成因素、诊断方法、治疗方式及对后续生育的影响进行综述,为优化临床诊疗策略提供参考。Cesarean scar diverticulum(CSD)is one of the long⁃term complications of cesarean section,which can cause symptoms such as abnormal menstrual patterns and chronic pelvic pain,significantly affecting the quality of life of patients.Currently,there is no unified standard of diagnosis and treatment for CSD.Surgical treatment was considered to be the primary option for patients with fertility requirements,but the specific selection criteria of surgical procedures and the impact of different surgical procedures on subsequent fertility remain controversial.Here,we summarize recent research fingdings on CSD from scholars around the world over the past 5 years,reviewing the factors contributing to the CSD formation,diagnostic methods,treatment options,and their effects on the future fertility,in order to provide a references for optimizing clinical strategies.

关 键 词：剖宫产瘢痕憩室 继发性不孕 瘢痕处残余肌层厚度 生育结局 

分 类 号：R541.75[医药卫生—心血管疾病]