Department of Gynecology, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang, PR China.
Medicine (Baltimore). 2021 Apr 30;100(17):e25757. doi: 10.1097/MD.0000000000025757.
The purpose of this study was to explore the relevant factors that affect the risk of cesarean scar diverticulum (CSD).A retrospective, case-control study was designed among women with a history of cesarean section (CS) who were admitted in Zhejiang Tongde Hospital from January 2017 to December 2019. Women with missing information were excluded. The basic clinical characteristics and the risk factors for CSD were assessed using univariate analysis and multivariate logistic regression analysis.A total of 216 women were analyzed, including 87 patients with CSD and 129 cases without CSD as control. Significant differences in number of CS, trial of labor (elective or urgent CS), CS interval, uterine position, intraoperative hemorrhage, and dysmenorrhea between CSD group and control group (P < .05). Multivariate logistic regression analysis showed that number of CS, trial of labor, interval of CS, and uterine position were independent risk factors of CSD.In women with a history of CS, multiple cesarean deliveries, elective CS, cesarean interval of less than 5 years, and retroflexed position of the uterus may be associated with an elevated risk of CSD.
本研究旨在探讨影响剖宫产憩室（CSD）风险的相关因素。设计了一项回顾性病例对照研究，纳入了 2017 年 1 月至 2019 年 12 月在浙江同德医院就诊的有剖宫产史的妇女。排除信息缺失的妇女。采用单因素分析和多因素 logistic 回归分析评估 CSD 的基本临床特征和危险因素。共分析了 216 名妇女，其中 CSD 患者 87 例，对照组 129 例。CSD 组与对照组在 CS 次数、试产（选择性或紧急 CS）、CS 间隔、子宫位置、术中出血和痛经方面存在显著差异（P ＜.05）。多因素 logistic 回归分析显示，CS 次数、试产、CS 间隔和子宫位置是 CSD 的独立危险因素。在有剖宫产史的妇女中，多次剖宫产、选择性剖宫产、CS 间隔小于 5 年以及子宫后倾位可能与 CSD 风险增加相关。
