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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.

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/8784/11651832/435e981ba3f3/10-1055-s-0044-1788588-i2423326-1.jpg

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