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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Successful Management of a Cesarean Scar Defect with Dehiscence of the Uterine Incision by Using Wound Lavage
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Successful Management of a Cesarean Scar Defect with Dehiscence of the Uterine Incision by Using Wound Lavage

机译：通过伤口灌洗成功治疗剖宫产疤痕伴子宫切口裂开。

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摘要

Cesarean scar defects (CSDs) that can be visualized using transvaginal ultrasonography (TVUS) may cause prolonged menstruation, irregular genital bleeding, and secondary infertility; surgical repair is sometimes necessary. We present a case of CSD, with dehiscence of the uterine incision, which was managed using wound lavage. A 38-year-old woman (gravida 4, para 4) had delivered her third and fourth children by cesarean section. Upon the resumption of menstruation, 9 months after her second cesarean section, she demonstrated prolonged menstruation and the presence of a menstrual fistula due to dehiscence of the cesarean section incision from the myometrium to the serosa. We treated the defect by lavaging with a physiological saline solution. After lavaging the wound 3 times, spontaneous healing of the dehiscent muscle layer was successfully achieved. The treatment was complication-free and the healing of the muscle layer has been maintained for more than 8 months.
机译：可以使用经阴道超声检查（TVUS）可视化的剖宫产疤痕（CSD）可能会导致月经延长，生殖器不规则出血和继发性不孕。有时需要进行手术修复。我们介绍了一例伴有子宫切口裂开的CSD，可通过灌洗伤口进行处理。一名38岁妇女（《怀孕》第4期第4段）通过剖宫产分娩了她的第三个和第四个孩子。在第二次剖腹产后9个月恢复月经时，由于从子宫内膜到浆膜的剖宫产切口开裂，她表现出月经延长和月经瘘管。我们通过用生理盐水溶液冲洗来治疗该缺陷。冲洗伤口3次后，成功地实现了裂开性肌肉层的自发愈合。该治疗无并发症，并且肌肉层的修复已维持8个月以上。

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