When and how should we treat cesarean scar defect - isthmocoele?

被引：26

作者：

Futyma, Konrad ^{[1
]}

Galczynski, Krzysztof ^{[1
]}

Romanek, Katarzyna ^{[1
]}

Filipczak, Aleksandra ^{[1
]}

Rechberger, Tomasz ^{[1
]}

机构：

[1] Med Univ Lublin, Dept Gynecol 2, Jaczewskiego St 8, PL-20954 Lublin, Poland

来源：

GINEKOLOGIA POLSKA | 2016年 / 87卷 / 09期

关键词：

cesarean scar defect; isthmocoele; niche; pouch; cesarean section; SECTION SCAR; HYSTEROSCOPIC TREATMENT; LAPAROSCOPIC REPAIR; PROSPECTIVE COHORT; RISK-FACTORS; PREVALENCE; SONOHYSTEROGRAPHY; DIVERTICULUM; INFERTILITY; DEHISCENCE;

D O I：

10.5603/GP.2016.0063

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The reported number of cesarean sections in Poland is approximately 30% and is associated with increasing number of early and late complications. The myometrial discontinuity at the site of previous cesarean section is known in the literature as "isthmocoele", "niche", "pouch" or cesarean scar defect. In most cases presence of isthmocoele has no clinical significance, but in some patients it may cause abnormal uterine bleeding, dysmenorrhea, dyspareunia, pelvic pain or be associated with secondary infertility. This defect may be treated by laparoscopy, hysteroscopy or vaginal surgery.

引用

页码：664 / 668

页数：5