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[试产与妇科子宫瘢痕:一项叙述性综述]

[Trial of labor and gynecological uterine scars : a narrative review].

作者信息

Santarelli Chiara, De Vries Pauline, Mathevet Patrice, Legardeur Hélène

机构信息

Service d'obstétrique et de gynécologie, Hôpital Riviera Chablais, 1847 Rennaz.

Service d'obstétrique et de gynécologie, Département femme-mère-enfant, Centre -hospitalier universitaire vaudois et Université de Lausanne, 1005 Lausanne.

出版信息

Rev Med Suisse. 2024 Oct 16;20(891):1880-1884. doi: 10.53738/REVMED.2024.20.891.1880.

Abstract

The increasing number of women of childbearing age with gynecological uterine scars presents a significant clinical challenge. -Planning the route of birth for a subsequent pregnancy necessitates -careful consideration and should be the subject of an informed -discussion. Unfortunately, the heterogeneity of data in the literature with regards to gynecological uterine scars makes this choice -debatable. Although the use of less invasive surgical procedures in this context is on the rise, there is currently a lack of robust data on their obstetric repercussions. This article -explores risk factors for uterine rupture in the view of gynecological uterine scars and -provides pragmatic recommendations for clinicians.

摘要

育龄期患有妇科子宫瘢痕的女性数量不断增加,这带来了重大的临床挑战。为后续妊娠规划分娩途径需要仔细考虑,并且应该是充分知情讨论的主题。不幸的是,关于妇科子宫瘢痕的文献数据存在异质性,这使得这种选择存在争议。尽管在这种情况下使用侵入性较小的手术程序的情况正在增加,但目前缺乏关于其产科影响的有力数据。本文从妇科子宫瘢痕的角度探讨子宫破裂的危险因素,并为临床医生提供实用建议。

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