论文部分内容阅读
目的探讨腹腔镜下剖宫产瘢痕憩室修补术在有生育要求患者中的应用价值。方法回顾性分析2016年1月北京大学第一医院妇产科收治的1例剖宫产瘢痕憩室患者行腹腔镜下憩室修补术后再次妊娠、分娩的资料,并复习相关文献。结果患者6年前疑诊胎盘早剥于我院行首次剖宫产,术程顺利,术后恢复好,月经正常,无下腹痛。3年前计划生育二孩,阴道超声检查发现剖宫产瘢痕憩室,宽约3.9 mm,要求手术修补而行宫腔镜检查术+腹腔镜下剖宫产瘢痕憩室修补术。术后1年如愿妊娠,孕期尚平顺。2016年1月再次行子宫下段剖宫产分娩,母子体健。结论腹腔镜下修补术在剖宫产瘢痕憩室治疗中有较好的临床价值,但能否降低不良妊娠结局风险仍有待进一步研究,患者孕期需严密监测,发现异常及早处理。
Objective To investigate the value of laparoscopic cesarean scar scar diverticulum repair in patients with reproductive requirements. Methods A retrospective analysis was conducted on the data of pregnancy and childbirth after laparoscopic diverticulum repair in 1 cesarean scar diverticulum admitted to Department of Obstetrics and Gynecology, Peking University First Hospital from January 2016 to January 2016. The data were reviewed and reviewed. Results Six years ago, patients with suspected placental abruption in our hospital for the first time, cesarean section, smooth operation, postoperative recovery is good, normal menstruation, without abdominal pain. Three years ago, family planning two children, vaginal ultrasound examination revealed cesarean scar diverticulum, a width of 3.9 mm, requiring surgical repair hysteroscopy + laparoscopic cesarean scar scar diverticulum repair. 1 year after the wish of pregnancy, pregnancy is still smooth. In January 2016, the second part of the uterus cesarean delivery, maternal and child health. Conclusions Laparoscopic repair has good clinical value in the treatment of cicatricial scar diverticulum. However, the risk of adverse pregnancy outcome remains to be further studied. Patients should be closely monitored during pregnancy and found to be abnormal and treated as soon as possible.