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《Medical Recapitulate》 2017-02
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Uterine Scar Healing Status after Cesarean Section in Different Time and Its Clinical Value to Guide the Choice of Delivery Mode for the Next Pregnancy

TU Jinjing;YAN Zhen;SHI Xiaojuan;Department of Ultrasonagraphy,Affiliated Hospital of Yan'an University;  
Objective To investigate the healing status of uterine scar after cesarean section in different time and its clinical value to guide the choice of delivery mode for the next pregnancy. Methods A total of 200 pregnant women in late trimester of pregnancy admitted to Affiliated Hospital of Yan'an University from Dec. 2013 to Dec. 2014 for examination and delivery were selected,and they all had a history of cesarean section. The pregnant women were divided into four groups acco rding to the time interval to the last cesarean section to this pregrency. These four groups were 10-12 months after cesarean section group( 13 cases),13-24 months after cesarean section group( 45 cases),25-36 months after cesarean section group( 116 cases) and 37 months after cesarean section group( 26 cases). The relationship between the time interval and the grade of uterine scar healing was investigated. The uterine rupture rate during vaginal delivery and the final delivery modes were compared. Results For the grades of uterine scar healing of the four groups,10-12 months after cesarean section group was worse than 13-24 months after cesarean section group and 25-36 months after cesarean section group and 37 months after cesarean section group[grade one,grade two,grade three were 0 case,2 cases,10 cases vs 12 cases,27 cases,6 cases vs 76 cases,34 cases,6 cases vs 6 cases,7 cases,3 cases]( all P 0. 05),13-24 months after cesarean section group was worse than 25-36 months after cesarean section group and 37 months after cesarean section group( P 0. 05),37 months after cesarean section group was the best( P 0. 05). The uterine rupture ate of 10-12 months group was much higher than that of 25-36 months group[23. 08%( 3 /13) vs 0. 86%( 1 /116) ]( P 0. 008). Finally,according to the wishes of the pregnant women and external conditions,93 cases adopted vaginal delivery,and 107 cases adopted cesarean section. The cesarean section rate of 37 months was lower than the other three groups[19. 23%( 5 /26) vs 42. 24%( 49 /116),88. 89%( 40 /45),42. 24%( 49 /116) ]( P 0. 05). Conclusion For pregnant women with a history of cesarean section,appropriate extending of the time interval from the last cesarean section to the next pregnancy is positive to the healing of uterine scar,the longer the time interval,the better the healing. For cases with time interval 2 years,vaginal delivery can be tried.
【CateGory Index】: R719.8
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【References】
Chinese Journal Full-text Database 2 Hits
1 MENG Shi-hui;FENG Li-min;Gynaecology and Obstetrics Department,Tiantan Hospital Attached to Capital Medical University;;Timing of subsequent pregnancy and operation of cesarean scar diverticulum[J];中国实用妇科与产科杂志;2018-08
2 ZHAO Yuchen;Obstetrics and Gynecology Department, The Second People's Hospital of Lanzhou;;Clinical Study of Postoperative Pregnancy After Cesarean Section[J];中国卫生标准管理;2018-07
【Citations】
Chinese Journal Full-text Database 6 Hits
1 WANG Caixia;GUO Peifen;HU Qingli;Department of Obstetrics and Gynecology,Guangdong Provincial Hospital of Chinese People’s Armed Police Forces;;Histology and biomechanical characteristics of uterine cesarean section( CS) scar in different years postcesarean section[J];武警医学;2015-09
2 Gu Yuting;Zhang Jing;Guan Huai;Department of Obstetrics and Gynecology,Longnan Hospital;;Clinical Observation of Uterine Scar Healing in Different Period after Cesarean Section and the Relationship with the Level of Collagen Expression[J];医学研究杂志;2015-09
3 GAO Jie;GAO Lüfen;Department of Gynecology and Obstetrics,Shenzhen Maternity and Child Healthcare Hospital;Department of Gynecology,the First Affliated Hospital of Ji'nan University;;Pregnancy and outcomes of patients with cesarean scar pregnancy after uterine artery embolization and curettage[J];中国医药导报;2014-08
4 XU Hui-ting;CHEN Yong-hai;Department of Ultrasound,Tiantai Pingqiao Hospital of Zhejiang Province;Department of Ultrasound,Tiantai People's Hospital of Zhejiang Province;;Clinical value for color Doppler flow imaging in diagnosis and treatment of cesarean scar pregnancy[J];中国妇幼健康研究;2014-01
5 ;Clinical significance of lower uterine segment thickness measurement by ultresound on late tri mester of pregnancy to multiple uterus incision delivery[J];医学影像学杂志;2011-03
6 WU Yue-qin.Department of Obstetrics and Gynecology,Beijing Aerospace General Hospital,Beijing 100076,China;Cesarean Scar Pregnancy:A Clinical Analysis of Six Cases[J];中国全科医学;2010-24
【Co-citations】
Chinese Journal Full-text Database 5 Hits
1 MENG Shi-hui;FENG Li-min;Gynaecology and Obstetrics Department,Tiantan Hospital Attached to Capital Medical University;;Timing of subsequent pregnancy and operation of cesarean scar diverticulum[J];中国实用妇科与产科杂志;2018-08
2 WANG Xiaohong;YU Shasha;FU Dongmei;CHEN Yehong;GUO Fangfang;Department of Obstetrics,Maternal and Child Health Care Hospital of Daxing District;;Causes of futerine rupture due to re-pregnancy after cesarean section[J];武警医学;2018-06
3 CHEN wei;LU yuemei;WANG chenchen;DING qipei;ZHANG yangwei;;Effect of combination treatment of MTX,mifepristone and B-ultrasound guided hysteroscopic resection for cesarean scar pregnancy[J];当代医药论丛;2018-09
4 CHEN Dan-ling;LIANG Hai-ying;YI Jing;LIU Guo-cheng;Department of Obstetrics,Guangdong Maternal and Child Health Care Hospital;;Correlation between expressions of collagen Ⅰ and Ⅲ and uterine scar healing[J];中国妇幼健康研究;2017-12
5 JIN Ying;LIN Qing;Department of Obstetrics and Gynecology,Beijing Friendship Hospital,Capital Medical University;;Clinical analysis on high-risk factors leading to cesarean scar pregnancy( CSP) and impact on women's reproductive ability[J];临床和实验医学杂志;2018-01
【Co-references】
Chinese Journal Full-text Database 7 Hits
1 DUAN Ran;QI Hong-bo;;Interpretation of the ACOG guidelines to the trial vaginal delivery after cesarean section(2017 edition)[J];中国实用妇科与产科杂志;2018-05
2 Li Kui;Wu You;Liu Fei;Yang Huixia;Department of Obstetrics and Gynecology,Peking University First Hospital;;Delivery modes and their influencing factors of pregnant women with previous cesarean section:a retrospective study of 474 gravidas[J];中华围产医学杂志;2017-02
3 TU Jinjing;YAN Zhen;SHI Xiaojuan;Department of Ultrasonagraphy,Affiliated Hospital of Yan'an University;;Uterine Scar Healing Status after Cesarean Section in Different Time and Its Clinical Value to Guide the Choice of Delivery Mode for the Next Pregnancy[J];医学综述;2017-02
4 Yu Lin;Su Chunhong;Wang Xiaoyi;Gong Jingjin;Chen Ping;Du Hongmei;Quan Qihua;Li Lihong;Chen Dunjin;Department of Obstetrics,the Third Affiliated Hospital of Guangzhou Medical University;;Multi-centric clinical study of trial of labor after cesarean section[J];中华妇产科杂志;2016-08
5 Gu Yuting;Zhang Jing;Guan Huai;Department of Obstetrics and Gynecology,Longnan Hospital;;Clinical Observation of Uterine Scar Healing in Different Period after Cesarean Section and the Relationship with the Level of Collagen Expression[J];医学研究杂志;2015-09
6 Yao Min;Chen Huihui;Tao Jie;Li Yu;Sun Minghua;Zhu Jialiang;Chen Ping;Wang Xipeng;Department of Gynecology,First Maternity and Infant Hospital,Tongji University;;Clinical research of transvaginal repair of cesarean scar diverticulum[J];中华妇产科杂志;2015-07
7 Fang YANG;Xi HE;Xue YAO;Li LING;Department of Obstetrics and Gynecology, Xiangya-cooperated Hospital of Pingxiang Mining Burea;;Investigation on clinical value of Bishop score and sonographic measurement in predicting success of delivery after primary cesarean section[J];中国现代医学杂志;2015-16
【Secondary Citations】
Chinese Journal Full-text Database 10 Hits
1 LIU Xin-yan,WU Lin-lin Department of Gynaecology and Obstetrics,Chinese Academy of Medical Sciences·Peking Union Medical College· Peking Union Medical College Hospital,Beijing 100021,P.R.China;Treatment progress of caesarean scar pregnancy[J];中国计划生育和妇产科;2013-04
2 LI Caixia CHANG Huixian JIN Yan Department of Magnetic,the Second People's Hospital of Jiaozuo,Jiaozuo 454001,China;Diagnostic Value of Uterine Cesarean Scar Using Magnetic Resonance Imaging[J];中国医学影像学杂志;2013-07
3 XU Yujing,FU Jinhua,CHU Yujing,et al(Weifang People's Hospital,Weifang Shandong 261041,China);Application of Digital 3D Model of Cesarean Scar Pregnancy in Uterine Artery Embolization[J];实用妇产科杂志;2013-04
4 YU Xia Yan'an Hospital of Kunming,Kunming 650051,China;Clinical analysis of 224 cases of the re-pregnancy of scarred uterus after the cesarean section[J];中国医药科学;2013-05
5 Lin ZHUANG, De-xin CHEN, Yue-hong YAO Department of Obstetrics and Gynecology, Sichuan Provincial Hospital for Women and Children, Chengdu 610041, China;Uterine Arteriovenous Malformation:Inducedby A Cesarean Scar Pregnancy[J];Journal of Reproduction and Contraception;2013-01
6 XIAO Zhongqun,LEI Xiuying(Maternal and Children Health Hospital of Yibin,Sichuan Yibin 644000,China);Clinical Analysis of 500 Cases of Re-pregnancy with Scarred Uterus[J];河北医学;2012-09
7 GAO Li-xin,LIU Qun.Department of Obstetrics and Gynecology,Aerospace Center Hospital,Beijing 100049,China;Complications of Repeated Cesarean Section in Pregnant Women with Scarred Uterus[J];中国全科医学;2012-23
8 GUO Zheng,ZHANG Run-Xiang,GUO Hao-Jing,et al.Department of Obstetrics and Gynecology,Traditional Chinese Medicine College of Shanxi,Taiyuan 030024,Shanxi,China;Contrast analysis of rate and indications for cesarean section from 1990 to 2009[J];中国妇幼保健;2012-20
9 Giampiero Francica,Unit of Diagnostic and Interventional ultrasound,Camilliani Hospital,"S.Maria della Pieta",S.Rocco St.9,80026 Casoria,Italy;Reliable clinical and sonographic findings in the diagnosis of abdominal wall endometriosis near cesarean section scar[J];World Journal of Radiology;2012-04
10 LI Li Zhejiang Province Yongkang City Red Cross Hospital,Yongkang 321300,China;Clinical studies of delivery mode and subsequent pregnancy outcome in uterine scar pregnancy[J];中国现代医生;2012-12
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