Abstract:

As a long-term complication of cesarean section，previous cesarean scar diverticulum（PCSD）has attracted more and more attention in recent 10 years.PCSD increases the risk of two major obstetrical complications：uterine rupture and placenta accreta.Moreover，long-term adverse outcomes include pain，abnormal uterine bleeding，intraperitoneal adhesions and infertility.This article discusses the preventive measures of PCSD from the following aspects：the choice of uterine incision，the technique of uterine suture，the choice of suture materials and the management of postoperative short-term complications.

Key words: cesarean scar diverticulum, postoperative complications, prevention

摘要：

前次剖宫产瘢痕憩室（PCSD）作为剖宫产术后的远期并发症，近10年来受到越来越多的关注。PCSD增加了产科并发症：子宫破裂和胎盘粘连，而且也带来了术后疼痛、异常子宫出血、腹腔粘连及不孕等不良结局。文章从子宫切口的选择、缝合技术、缝合材料的选择及术后近期并发症的处理几方面探讨PCSD的预防措施。

关键词: 剖宫产瘢痕憩室, 术后并发症, 预防