剖宫产术后子宫瘢痕缺陷与异常子宫出血的关系。
Association between hysteroscopic findings of previous cesarean delivery scar defects and abnormal uterine bleeding.
机构信息
Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chiayi, Taiwan.
出版信息
Taiwan J Obstet Gynecol. 2019 Jul;58(4):541-544. doi: 10.1016/j.tjog.2019.05.020.
OBJECTIVE
The aim of the present study was to describe various hysteroscopic findings of previous cesarean delivery scar defects (PCDS), and evaluate the relationship between these findings and abnormal uterine bleeding.
MATERIALS AND METHODS
This was a retrospective study including patients with abnormal uterine bleeding after a cesarean section. Transvaginal ultrasound and hysteroscopy were used to detect the origin of the symptoms, and the gynecological symptoms and hysteroscopic findings were recorded. Relationships between the hysteroscopic findings and abnormal uterine bleeding were evaluated.
RESULTS
Ninety-six (82.8%) patients presented with intermenstrual bleeding. The most common findings of scar defects on hysteroscopy were increased local vascularization (74.1%) and oozing spots (47.4%). Increased local vascularization on the defect was significantly related to intermenstrual bleeding (p = 0.048).
CONCLUSION
This study categorized different findings of PCDS under hysteroscopy. Increased local vascularization on the scar defect was significantly related to intermenstrual bleeding.
目的
本研究旨在描述剖宫产术后子宫瘢痕缺陷（PCDS）的各种宫腔镜表现，并评估这些表现与异常子宫出血之间的关系。
材料与方法
这是一项回顾性研究，纳入了剖宫产后出现异常子宫出血的患者。采用经阴道超声和宫腔镜检查来确定症状的来源，并记录妇科症状和宫腔镜表现。评估了宫腔镜表现与异常子宫出血之间的关系。
结果
96 例（82.8%）患者表现为经间期出血。宫腔镜下瘢痕缺陷最常见的表现为局部血管增多（74.1%）和渗血点（47.4%）。缺陷处局部血管增多与经间期出血显著相关（p=0.048）。
结论
本研究对宫腔镜下 PCDS 的不同表现进行了分类。瘢痕缺陷处的局部血管增多与经间期出血显著相关。
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