子宫剖宫产瘢痕处肌层龛形成的预后因素

Prognostic Factors for Niche Development in the Uterine Caesarean Section Scar.

作者信息

Voet Lucy Lucet F van der, Vaate A Marjolein J Bij de, Heymans Martijn W, Brölmann Hans A M, Veersema Sebastiaan, Huirne Judith A F

机构信息

Department of Obstetrics and gynaecology, Deventer Ziekenhuis, Deventer, The Netherlands; Department of Obstetrics and Gynaecology, Sint Antonius Ziekenhuis, Nieuwegein, The Netherlands; Sint Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands.

Department of Gynaecology, VU Medical Center, Amsterdam, The Netherlands.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2017 Jun;213:31-32. doi: 10.1016/j.ejogrb.2017.03.039. Epub 2017 Apr 5.

DOI:10.1016/j.ejogrb.2017.03.039

PMID:28414948

Abstract

In a prospective study on 134 women after their first cesarean section prognostic factors for developing an uterine niche (scar defect) measured with sonohysterography were evaluated. With multivariable logistic regression anlaysis the following prognostic factors were identified; enlarged cervical dilatation and induction of labour. Contractions before labour reduced the risk for niche development. The predictive value of the model made with this prognostic factors was low. The development of a niche is a multifactorial proces and more studies are needed.

摘要

在一项针对134名首次剖宫产术后女性的前瞻性研究中，评估了经子宫超声造影测量的子宫憩室（瘢痕缺损）形成的预后因素。通过多变量逻辑回归分析确定了以下预后因素：宫颈扩张增大和引产。分娩前的宫缩降低了憩室形成的风险。用这些预后因素构建的模型预测价值较低。憩室的形成是一个多因素过程，还需要更多的研究。