|Table of Contents|

A Clinical Study of Cesarean Scar Endometriosis(PDF)

《南京师大学报（自然科学版）》[ISSN:1001-4616/CN:32-1239/N]

Issue:
2018年01期
Page:
97-
Research Field:
·生命科学·
Publishing date:

Info

Title:
A Clinical Study of Cesarean Scar Endometriosis
Author(s):
Zhang Ping; Sun Yabing; Zhang Chen; Yang Yeping; Zhang Linna; Xu Hong
The International Peace Maternity and Child Health Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200030,China
Keywords:
abdominal wall endometriosis; cesarean section; cesarean scar endometriosis; Pfannenstiel incision
PACS:
R713.1
DOI:
10.3969/j.issn.1001-4616.2018.01.017
Abstract:
Abdominal wall endometriosis after cesarean section,also named cesarean scar endometriosis(CSE),is an uncommon iatrogenic disease. The aim of this study is to identify the clinical features of CSE and recommend precautionary measures. A retrospective study was undertaken for CSE patients treated surgically at a university hospital in China between January 2007 and December 2016. The final sample included 169 CSE cases. The mean age of the patients was(32.0±3.9)years,and parity ranged from 1 to 2. The latent period of the CSE was(31.4±23.7)months. No significant latent period difference was identified based on patients’ baseline characteristics. A majority(80.5%,n=136)of the patients had Pfannenstiel incisions,and a minority(19.5%,n=33)had vertical midline incisions. The latent period of the CSE in Pfannenstiel incision was significantly shorter than that in vertical midline incision(24.0 vs 36.0,P=0.005),and the latent period in patients with multiple endometriomas was significantly shorter than that in patients with a single endometrioma(12.0 vs 24.0,P=0.034). Lesions of scar endometrioma were more common in both corner sites:121/145(83.4%)in Pfannenstiel incision scars and 28/33(84.8%)in vertical midline incision scars. Although further studies are needed,the findings of this study suggest that Pfannenstiel incision carries a higher risk of CSE than vertical midline incision. Thorough cleaning at the conclusion of CS,particularly both corner sites of the adipose layer and fascia layer,are strongly recommended for CSE prevention.

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Last Update: 2018-03-31