摘要
目的对剖宫产切口宫壁缺损引起妇女月经异常的原因进行探讨。方法2002年3月～2007年3月收治有一次剖宫产史并月经异常的妇女48例,行宫腔镜检查及阴道B超,排除无排卵、子宫肌瘤、附件肿物、内膜息肉、内膜癌和宫颈癌引起的月经异常。结果宫腔镜下所有妇女在宫颈管前壁距离宫颈外口(4.3±1.7)cm处见剖宫产疤痕缺损,局部血管增生显露,伴内膜增生,局部有流出陈旧血的小孔存在。B超报告宫体宫颈交界处缺损率为39.6%。结论剖宫产切口宫壁缺损是引起妇女异常子宫出血的原因。
[Objective] To study whether an anatomic defect of uterine wall in the anterior isthmus is a cause of abnormal vaginal bleeding. [Methods] From March 2002 to March 2007, 48 women aged (33.5±5.4) years (ranging 27~40 years) who reported abnormal vaginal bleeding (including menorrhagia, intermenstrual bleeding, especially postmenstrual spotting) with a history of at least 1 or more cesarean deliveries had vaginal ultrasonographic examination and hysteroscopic examination. Anovulatory cycle, myoma, endometrial...
出处
《中国内镜杂志》
CSCD
北大核心
2008年第7期755-758,共4页
China Journal of Endoscopy
基金
广东省自然科学基金项目(No.:7301394)
关键词
月经异常
剖宫产
宫腔镜检查
阴道B超
abnormal uterine bleeding
cesarean section
hysteroscopy
trans-vaginal sonography
