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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.

DOI:10.4103/JMU.JMU_5_18
PMID:30065517
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6029193/
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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Uterine Dehiscence: A Rare Cause of Postpartum Puerperal Sepsis.

本文引用的文献

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Case Rep Obstet Gynecol. 2014;2014:421014. doi: 10.1155/2014/421014. Epub 2014 Nov 6.
2
Postpartum Uterine Wound Dehiscence Leading to Secondary PPH: Unusual Sequelae.产后子宫伤口裂开导致继发性产后出血:罕见的后遗症。
Case Rep Obstet Gynecol. 2012;2012:154685. doi: 10.1155/2012/154685. Epub 2012 Jun 7.
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Two-dimensional power Doppler-three-dimensional ultrasound imaging of a cesarean section dehiscence with utero-peritoneal fistula: a case report.
子宫破裂:产后产褥期败血症的罕见原因。
Cureus. 2021 Sep 25;13(9):e18264. doi: 10.7759/cureus.18264. eCollection 2021 Sep.
4
The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes.新型产后子宫超声评分在评估子宫复旧对围产期母婴结局的数值评估中的重要性。
Diagnostics (Basel). 2021 Sep 21;11(9):1731. doi: 10.3390/diagnostics11091731.
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Postnatal diagnosis of an occult uterine scar dehiscence after three uncomplicated vaginal births after Caesarean section: A case report.剖宫产术后三次阴道分娩无并发症后隐匿性子宫瘢痕裂开的产后诊断:一例报告
Case Rep Womens Health. 2020 Apr 14;27:e00203. doi: 10.1016/j.crwh.2020.e00203. eCollection 2020 Jul.
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A Rare Case of Watery Vaginal Discharge due to Caesarean Scar Dehiscence following Brace Suture and Balloon Tamponade for the Management of Postpartum Hemorrhage.一例罕见的剖宫产瘢痕裂开致阴道水样分泌物病例,该患者因产后出血接受了支撑缝合和球囊填塞治疗。
Case Rep Obstet Gynecol. 2020 Feb 26;2020:2064782. doi: 10.1155/2020/2064782. eCollection 2020.
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