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子宫破裂:再次剖宫产中的诊断难题

"Uterine Dehiscence: A Diagnostic Conundrum in Repeat Cesarean Deliveries".

作者信息

Sarue Pamela, Eynon Nicholas, Zbeidy Reine A

机构信息

Division of Obstetric Anesthesiology University of Miami, Jackson Memorial Hospital Miami Florida USA.

University of Miami Miller School of Medicine Miami Florida USA.

出版信息

Clin Case Rep. 2025 Aug 13;13(8):e70791. doi: 10.1002/ccr3.70791. eCollection 2025 Aug.

Abstract

Uterine dehiscence (UD), often asymptomatic and underdiagnosed, is a significant risk in patients with prior cesarean deliveries. Serious complications include uterine rupture; increasing maternal and neonatal morbidity. Improved diagnostic protocols, particularly antenatal imaging, are essential to differentiate UD from placenta accreta spectrum, optimize resource utilization, and enhance patient outcomes.

摘要

子宫破裂(UD)通常无症状且诊断不足,是既往有剖宫产史患者的重大风险。严重并发症包括子宫破裂,会增加孕产妇和新生儿的发病率。改进诊断方案,尤其是产前影像学检查,对于区分子宫破裂与胎盘植入谱系疾病、优化资源利用及改善患者预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4846/12344375/fc86115637a3/CCR3-13-e70791-g001.jpg

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