中国实用妇科与产科杂志
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摘要：
剖宫产瘢痕憩室（CSD）是剖宫产术后的一个远期并发症。随着剖宫产率持续上升，CSD的发生率随之升高。部分患者因此出现异常子宫出血或剖宫产瘢痕妊娠，甚至发生大出血、孕期子宫破裂、凶险性前置胎盘等严重并发症危及母胎安全。CSD发病机制尚不明确，发生率也无确切数据。CSD的诊断目前国际上仍未形成统一定论。主要是根据病史，临床表现及辅助检查进行临床诊断。影像学检查以及宫腔镜检查已经成为临床上主要的诊断方法与确诊手段。
关键词: 剖宫产, 子宫瘢痕憩室, 宫腔镜检查
Abstract:
Post-cesarean section scar diverticulum（CSD）is a long-term complication of cesarean section.With the continuous rise of the cesarean section rate，the incidence of CSD also increases.Some patients suffer from abnormal uterine bleeding（AUB）or cesarean section scar pregnancy（PSD），and even have such complications as massive haemorrhage，uterine rupture and pernicious placenta previa during pregnancy，which threatens the life of mothers and infants.The pathogenesis of CSD is unclear.There is no exact data on the rate of its occurrence.An international consensus has not emerged on the diagnosis of CSD.The diagnosis is mainly based on past history，clinical manifestation and accessory examinations.Imaging examination and diagnostic hysteroscopy are the major diagnostic method of CSD.Pathogenesis and diagnosis of CSD are reviewed in this article.
Key words: cesarean section, uterine scar diverticulum, hysteroscopy
中图分类号:
R714.2
汪沙，段华. 剖宫产瘢痕憩室的形成机制及诊断[J]. 中国实用妇科与产科杂志, DOI: 10.19538/j.fk2018080108.
WANG Sha，DUAN Hua. Pathogenesis and diagnosis of post-cesarean section scar diverticulum.[J]. Acta Metallurgica Sinica, DOI: 10.19538/j.fk2018080108.
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https://www.zgsyz.com/zgsyfck/CN/Y2018/V34/I8/858
