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超声评估剖宫产子宫切口瘢痕憩室及其对后续妊娠的产科并发症：图谱综述

Sonographic Assessment of Isthmocele and Its Obstetric Complications in Subsequent Pregnancies: A Pictorial Review.

作者信息

Agarwal Prateek, Agarwal Rajesh Kumar, Purohit Arushi

机构信息

Department of Radiology, Narayana Health, Bengaluru, Karnataka, India.

Department of Ultrasound, Meera Hospital, Jaipur, Rajasthan, India.

出版信息

Indian J Radiol Imaging. 2024 Jul 19;35(1):159-168. doi: 10.1055/s-0044-1788588. eCollection 2025 Jan.

DOI:10.1055/s-0044-1788588
PMID:39697515
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11651832/
Abstract

Cesarean scar defect represents a significant pathology attributed to the rising prevalence of cesarean deliveries. While not commonplace, these lesions can give rise to severe obstetric consequences during subsequent pregnancies. Given the potential complications, it is advisable to screen for uterine niches using transvaginal ultrasound (TVUS) or contrast-enhanced TVUS for individuals planning to conceive. Surgical repair and correction of these lesions can be crucial in averting obstetric and perinatal complications in future pregnancies. Furthermore, timely sonographic evaluation and reporting of isthmocele-related obstetric complications can help avoid serious issues.

摘要

剖宫产瘢痕缺损是一种重要的病理状况，归因于剖宫产分娩率的上升。虽然并不常见，但这些病变在随后的妊娠期间可能会引发严重的产科后果。鉴于存在潜在并发症，对于计划怀孕的个体，建议使用经阴道超声（TVUS）或超声造影增强经阴道超声来筛查子宫切口憩室。手术修复和矫正这些病变对于避免未来妊娠中的产科和围产期并发症可能至关重要。此外，及时进行超声检查评估并报告与峡部裂相关的产科并发症有助于避免严重问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/520c7456fc1c/10-1055-s-0044-1788588-i2423326-14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/435e981ba3f3/10-1055-s-0044-1788588-i2423326-1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/7785831bbb37/10-1055-s-0044-1788588-i2423326-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/d8114aba909f/10-1055-s-0044-1788588-i2423326-8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/16a7ca874b3e/10-1055-s-0044-1788588-i2423326-11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/5660006d916f/10-1055-s-0044-1788588-i2423326-12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/1a99686f4b86/10-1055-s-0044-1788588-i2423326-13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/520c7456fc1c/10-1055-s-0044-1788588-i2423326-14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/435e981ba3f3/10-1055-s-0044-1788588-i2423326-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/2504872c8b01/10-1055-s-0044-1788588-i2423326-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/694ed0bd3da8/10-1055-s-0044-1788588-i2423326-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/b74bb00eec24/10-1055-s-0044-1788588-i2423326-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/9b0961ecfe6b/10-1055-s-0044-1788588-i2423326-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/c5c506efb0a4/10-1055-s-0044-1788588-i2423326-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/7785831bbb37/10-1055-s-0044-1788588-i2423326-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/d8114aba909f/10-1055-s-0044-1788588-i2423326-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/e5c15263327d/10-1055-s-0044-1788588-i2423326-9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/a40928105a0d/10-1055-s-0044-1788588-i2423326-10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/16a7ca874b3e/10-1055-s-0044-1788588-i2423326-11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/5660006d916f/10-1055-s-0044-1788588-i2423326-12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/1a99686f4b86/10-1055-s-0044-1788588-i2423326-13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8784/11651832/520c7456fc1c/10-1055-s-0044-1788588-i2423326-14.jpg

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本文引用的文献

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Pelvic ultrasonography of the postpartum uterus in patients presenting to the emergency room with vaginal bleeding and pelvic pain.对因阴道出血和盆腔疼痛而到急诊室就诊的患者进行产后子宫的盆腔超声检查。
Ultrasonography. 2022 Oct;41(4):782-795. doi: 10.14366/usg.22004. Epub 2022 Apr 8.
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[Prediction and analysis of adverse pregnancy outcomes in pregnant women with cesarean scar diverticulum].
剖宫产瘢痕憩室孕妇不良妊娠结局的预测与分析
Zhonghua Fu Chan Ke Za Zhi. 2022 Aug 25;57(8):587-593. doi: 10.3760/cma.j.cn112141-20220107-00011.
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Cesarean scar pregnancy with expectant management.剖宫产瘢痕妊娠期待治疗。
J Obstet Gynaecol Res. 2022 Jul;48(7):1683-1690. doi: 10.1111/jog.15258. Epub 2022 Apr 5.
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First-trimester ultrasound diagnostic features of placenta accreta spectrum in low-implantation pregnancy.早孕期低着床部位胎盘植入谱系疾病的超声诊断特征。
Ultrasound Obstet Gynecol. 2022 Apr;59(4):457-464. doi: 10.1002/uog.24828. Epub 2022 Mar 10.
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Definition and sonographic reporting system for Cesarean scar pregnancy in early gestation: modified Delphi method.早孕期剖宫产术后子宫瘢痕妊娠的定义及超声报告系统：改良 Delphi 法。
Ultrasound Obstet Gynecol. 2022 Apr;59(4):437-449. doi: 10.1002/uog.24815.
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Uterine niche after cesarean section: a review of diagnostic methods.剖宫产术后子宫切口憩室：诊断方法的综述。
Ginekol Pol. 2021;92(10):726-730. doi: 10.5603/GP.a2021.0195.
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