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当剖宫产瘢痕在后续妊娠中不仅仅是一个无辜的旁观者时:超声来救援。

When a cesarean section scar is more than an innocent bystander in a subsequent pregnancy: Ultrasound to the rescue.

作者信息

Singh Divya, Kaur Ladbans

机构信息

Prime Imaging and Prenatal Diagnostics, SCO 155, Sector 24 D, Chandigarh, India, 160023.

出版信息

J Clin Ultrasound. 2017 Jul 8;45(6):319-327. doi: 10.1002/jcu.22485. Epub 2017 Apr 25.

Abstract

Over the years, cesarean section has played a pivotal role in reducing maternal and perinatal morbidity and mortality. With the rising trend of this surgery, a substantial number of pregnant women have a cesarean section scar. The scar can serve as the abode of grave conditions in subsequent pregnancies, namely cesarean scar pregnancy, morbidly adherent placenta, and scar dehiscence. Sonography has emerged as a robust tool for the diagnosis of these potentially life-threatening conditions. This review highlights the key sonographic features of various complications that can occur at the cesarean scar site in subsequent pregnancies. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:319-327, 2017.

摘要

多年来,剖宫产在降低孕产妇及围产期发病率和死亡率方面发挥了关键作用。随着这种手术趋势的上升,大量孕妇有剖宫产瘢痕。该瘢痕可能成为后续妊娠中严重情况的病灶,即剖宫产瘢痕妊娠、胎盘植入和瘢痕裂开。超声检查已成为诊断这些潜在危及生命情况的有力工具。本综述重点介绍了后续妊娠中剖宫产瘢痕部位可能出现的各种并发症的关键超声特征。© 2016威利期刊公司。《临床超声杂志》45:319 - 327,2017年。

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