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剖宫产术后感染性产后子宫裂开的保守治疗

Conservative Management of Infected Postpartum Uterine Dehiscence after Cesarean Section.

作者信息

El-Agwany Ahmed Samy

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

出版信息

J Med Ultrasound. 2018 Jan-Mar;26(1):59-61. doi: 10.4103/JMU.JMU_5_18. Epub 2018 Mar 28.

Abstract

There is an increase in cesarean rates worldwide. Parallel to this, the complications increased. Among these complications, uterine dehiscence and pelvic hematoma with abscess collection have increased. Diagnosis using methods such as ultrasonography, magnetic resonance imaging, and computer-aided tomography can be made. Treatment includes resuturing the uterine incision line, hysterectomy, or conservative treatment accompanied by broad-spectrum antibiotics administration. We evaluated three cases that were diagnosed by ultrasound as a dehiscent scar postpartum after cesarean section and they were managed conservatively with regular follow-up.

摘要

全球剖宫产率呈上升趋势。与此同时,并发症也有所增加。在这些并发症中,子宫裂开和伴有脓肿形成的盆腔血肿有所增加。可通过超声、磁共振成像和计算机断层扫描等方法进行诊断。治疗方法包括重新缝合子宫切口线、子宫切除术或在使用广谱抗生素的同时进行保守治疗。我们评估了三例经超声诊断为剖宫产术后产后瘢痕裂开的病例,并对其进行了定期随访的保守治疗。

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