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剖宫产所致峡部憩室形成的瘢痕脓肿的保守治疗

Conservative Management of a Scar Abscess formed in a Cesarean-induced Isthmocele.

作者信息

Boukrid Meriem, Dubuisson Jean

机构信息

Department of Gynecology-Obstetrics, University Hospital of Geneva , Geneva , Switzerland.

出版信息

Front Surg. 2016 Feb 16;3:7. doi: 10.3389/fsurg.2016.00007. eCollection 2016.

DOI:10.3389/fsurg.2016.00007
PMID:26909351
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4754412/
Abstract

BACKGROUND

Abscesses located in the cesarean-section (CS) induced isthmoceles are rarely encountered and are usually treated surgically, mostly by hysterectomy.

CASE DESCRIPTION

We here report the case of a 40-year-old primiparous woman presenting a symptomatic abscess in the isthmocele 10 years after a CS. She was treated by antibiotics and was closely monitored by clinical evaluation, ultrasonography, and pelvic magnetic resonance imaging. This treatment led to complete resolution of symptoms and a disappearance of the abscess at imagery.

CONCLUSION

Our report shows that a conservative medical management of isthmocele abscesses can be an effective approach in women wishing to preserve their uterus.

摘要

背景

剖宫产术后峡部憩室引起的脓肿很少见,通常采用手术治疗,多数行子宫切除术。

病例描述

我们在此报告一例40岁初产妇,剖宫产术后10年出现有症状的峡部憩室脓肿。她接受了抗生素治疗,并通过临床评估、超声检查和盆腔磁共振成像进行密切监测。这种治疗使症状完全缓解,影像学检查显示脓肿消失。

结论

我们的报告表明,对于希望保留子宫的女性,对峡部憩室脓肿进行保守药物治疗可能是一种有效的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/4754412/f953ee28df2c/fsurg-03-00007-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/4754412/4a186901de65/fsurg-03-00007-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/4754412/36589fd1ace0/fsurg-03-00007-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/4754412/b1c0899052c2/fsurg-03-00007-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/4754412/f953ee28df2c/fsurg-03-00007-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/4754412/4a186901de65/fsurg-03-00007-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/4754412/36589fd1ace0/fsurg-03-00007-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/4754412/b1c0899052c2/fsurg-03-00007-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cedb/4754412/f953ee28df2c/fsurg-03-00007-g004.jpg

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本文引用的文献

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Curr Opin Obstet Gynecol. 2012 Jun;24(3):180-6. doi: 10.1097/GCO.0b013e3283521202.
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Is a rising cesarean delivery rate inevitable? Trends in industrialized countries, 1987 to 2007.剖宫产率是否必然上升?1987 年至 2007 年工业化国家的趋势。
Birth. 2011 Jun;38(2):99-104. doi: 10.1111/j.1523-536X.2010.00459.x. Epub 2011 Mar 10.
3
Scar abscess six years after cesarean section: Laparoscopic and hysteroscopic management.
评论:剖宫产所致峡部憩室形成的瘢痕脓肿的保守治疗
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J Minim Invasive Gynecol. 2009 Nov-Dec;16(6):785-8. doi: 10.1016/j.jmig.2009.07.020.
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Perioperative antibiotic prophylaxis for nonlaboring cesarean delivery.非临产剖宫产的围手术期抗生素预防
Obstet Gynecol. 2009 Oct;114(4):752-756. doi: 10.1097/AOG.0b013e3181b8f28f.
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Cesarean scar defect: correlation between Cesarean section number, defect size, clinical symptoms and uterine position.剖宫产术后子宫瘢痕缺陷:剖宫产术次数、缺陷大小、临床症状与子宫位置的相关性。
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