Successful Late Preterm Delivery with Dehiscent Caesarean Scar Repair in Early Second Trimester: A Case Report

第二孕期前期進行子宮剖腹疤痕修復後成功的在第三孕期成功分娩－個案報告

劉錦成(Kim-Seng Law) ； 李政君(Cheng-Chun Lee)

《童綜合醫學雜誌》 15卷1期 (2021/06) Pp. 35-39

https://doi.org/10.3966/207135922021061501007

摘要

Background: The incidence of uterine scar dehiscence in gravid women is increasing because of increasing rates of cesarean section and other uterine surgeries. Most previous reports have described expectant management without proactive measures. This report describes the successful early second trimester repair of a partially dehiscent uterine scar. Case presentation: A 29-year-old woman was found to have a dehiscent cesarean scar on routine ultrasonography performed at 9 weeks' gestation. Surgical repair was performed at 13 weeks to reduce the protruding gestational sac and close the uterine scar. The patient's recovery was uneventful and she underwent a successful cesarean delivery at 36 weeks. Conclusion: The early detection and timely repair of a dehiscent scar in pregnant women may prevent maternal and fetal complications.

關鍵字

Caesarean scar dehiscence ； caesarean section ； second trimester surgery ； uterine rupture

並列摘要

背景：隨著剖宮產率和其他子宮手術率的增加，妊娠婦女子宮瘢痕裂開的情況也跟著上升。在以往的研究報告中，皆未執行任何手術加以管理妊娠婦女子宮瘢痕裂開的情況。本個案中，我們順利的在第二孕期前期對此妊娠婦女進行子宮剖腹疤痕修復後並成功的在第三孕期成功分娩。案例：一名29歲的女性在妊娠9週時進行常規超聲檢查後發現有開裂性剖宮產瘢痕。我們在妊娠第13週時進行手術修復突出的妊娠囊並縫合了子宮瘢痕。患者的預後良好，並在36週時成功地進行剖腹產。結果：結果顯示及早發現和及時修復孕婦子宮上的開裂疤痕可以預防孕產婦和胎兒併發症的產生。

並列關鍵字

剖宮產瘢痕裂開 ； 剖宮產 ； 妊娠中期手術 ； 子宮破裂