Drouin Olivier, Bergeron Tessa, Beaudry Ariane, Demers Suzanne, Roberge Stéphanie, Bujold Emmanuel
Department of Obstetrics and Gynecology, Faculty of Medicine, Université Laval, Quebec, Canada.
Department of Social and Preventive Medicine, Faculty of Medicine, Université Laval, Quebec, Canada.
AJP Rep. 2014 Nov;4(2):e65-8. doi: 10.1055/s-0034-1376187. Epub 2014 May 28.
Context Uterine scar defects or scar niche are relatively common after cesarean delivery. An association has been observed between the severity of scar defect, also known as isthmocele, some gynecologic symptoms, and the risk of uterine scar dehiscence at the next delivery. It has been suggested that surgical repair of scar defect could improve the gynecological symptoms, but it remains unclear whether such surgery mends the uterine scar itself. Case Report We report the case of a woman with uterine scar defect in whom laparoscopic repair significantly improved the gynecological symptoms without affecting the uterine scar, evaluated by hysterosonography. Conclusion This case highlights the significant dearth of knowledge surrounding the diagnosis, consequences, and benefits of surgical repair of uterine scar defect after cesarean.
剖宫产术后子宫瘢痕缺损或瘢痕憩室相对常见。已观察到瘢痕缺损（也称为峡部缺损）的严重程度、一些妇科症状与下次分娩时子宫瘢痕裂开风险之间存在关联。有人提出手术修复瘢痕缺损可改善妇科症状，但尚不清楚这种手术是否能修复子宫瘢痕本身。病例报告：我们报告一例子宫瘢痕缺损女性患者，经子宫超声检查评估，腹腔镜修复显著改善了妇科症状，且未影响子宫瘢痕。结论：该病例凸显了剖宫产术后子宫瘢痕缺损手术修复在诊断、后果及益处方面的知识严重匮乏。
