Tan Eelin, Tan Timothy Shao Ern, Leong Teo Harvey Eu, Lau Li Ching
Department of Diagnostic Imaging, KK Womens' and Childrens' Hospital, Singapore.
Ultrasound. 2022 Aug;30(3):246-254. doi: 10.1177/1742271X211038715. Epub 2021 Aug 27.
With the rise in Caesarean deliveries, complications related to the procedure are increasingly encountered. Sonography has an indispensable role in the assessment of these complications and is often the first-line investigation of choice. Part 2 of this pictorial review summarises the non-pregnant and pregnancy-related complications of Caesarean deliveries.
Non-pregnant complications include Caesarean scar defects, scar endometriosis and malpositioned intrauterine devices. Complications related to future gestations include scar ectopic pregnancy, abnormal placentation and intrapartum uterine dehiscence or rupture. Key sonographic features of these conditions are illustrated. Pitfalls, mimics, limitations and indications for cross-sectional imaging are discussed.
Sound knowledge of the sonographic features of common non-pregnant and pregnancy-related complications of Caesarean delivery will facilitate accurate diagnosis, timely management and improved patient outcomes.
随着剖宫产率的上升，与该手术相关的并发症越来越常见。超声检查在评估这些并发症中起着不可或缺的作用，通常是首选的一线检查方法。本图谱综述的第二部分总结了剖宫产的非妊娠相关并发症和妊娠相关并发症。
非妊娠相关并发症包括剖宫产瘢痕缺损、瘢痕子宫内膜异位症和宫内节育器位置异常。与未来妊娠相关的并发症包括瘢痕部位异位妊娠、胎盘植入异常和产时子宫裂开或破裂。文中阐述了这些情况的关键超声特征。讨论了陷阱、相似表现、局限性以及横断面成像的适应证。
全面了解剖宫产常见的非妊娠相关和妊娠相关并发症的超声特征，将有助于准确诊断、及时处理并改善患者预后。
