Alamo Leonor, Vial Yvan, Denys Alban, Andreisek Gustav, Meuwly Jean-Yves, Schmidt Sabine
Department of Diagnostic and Interventional Radiology, University Hospital of Lausanne (CHUV) and University of Lausanne (UNIL) Rue du Bugnon, 46, 1011, Lausanne, Switzerland.
Department of Gynecology and Obstetrics, University Hospital of Lausanne (CHUV) and University of Lausanne (UNIL), Rue du Bugnon, 46, 1011, Lausanne, Switzerland.
Eur J Radiol Open. 2018 Jan 28;5:6-15. doi: 10.1016/j.ejro.2018.01.001. eCollection 2018.
Although the World Health Organization suggests 10-15% as the adequate cesarean delivery rate to assure optimal prognosis for mother and children, cesarean rates have continuously increased worldwide over the last three decades, even in primiparous women. Moreover, uterine scars after myomectomies, complications of obstetrical interventions and more recently, after fetal surgery, are often observed. This review article describes the most commonly seen complications related to prior uterine scars and discusses their imaging findings, with emphasis on the increasing role of Magnetic Resonance Imaging for diagnosis.
尽管世界卫生组织建议剖宫产率保持在10%-15%以确保母婴获得最佳预后，但在过去三十年里，全球剖宫产率持续上升，初产妇中亦是如此。此外，子宫肌瘤剔除术后的子宫瘢痕、产科干预的并发症以及最近胎儿手术后的子宫瘢痕也屡见不鲜。这篇综述文章描述了与既往子宫瘢痕相关的最常见并发症，并讨论了其影像学表现，重点强调磁共振成像在诊断中的作用日益增加。
