Petrikovsky B M
Department of Obstetrics and Gynecology, North Shore University Hospital/Cornell Medical College, Manhasset, New York 11030.
J Reprod Med. 1994 Jun;39(6):464-6.
Endoscopic examination of the uterine scar site was performed on 52 women prior to a trial of labor after a previous cesarean section. A sterilized intraoperative fiberscope was introduced into the amniotic cavity after rupture of the fetal membranes under constant visual guidance. In 45 cases the site of the previous incision appeared unremarkable, and a scar from the previous surgery could not be identified. "Compromised" scars were detected in three patients, and scars were identified as vertical in four patients with no record of the type of uterine incision used for the previous surgery. Endoscopic data were confirmed postpartum in all cases. This approach seems beneficial in selected cases.
对52名曾行剖宫产术且计划进行试产的女性进行了子宫瘢痕部位的内镜检查。在胎膜破裂后，在持续可视引导下将消毒后的术中纤维内镜置入羊膜腔。45例中，既往切口部位外观无异常，无法识别既往手术瘢痕。3例患者检测到“受损”瘢痕，4例患者瘢痕被确定为垂直方向，且既往手术所用子宫切口类型无记录。所有病例的内镜检查数据均在产后得到证实。这种方法在特定病例中似乎有益。
