CAJ | 학술논문

剖宫产子宫切口憩室是剖宫产术后最常见的远期并发症之一，治疗及疗效判定尚无统一标准，治疗方法主要包括药物干预及手术治疗，常用药物为口服避孕药，手术治疗主要包括经阴道憩室切除及内镜下憩室整复术。减少剖宫产子宫切口憩室的发生应严格把握剖宫产指征，剖宫产术中严格执行无菌操作，充分清除蜕膜、胎盘组织，充分止血，缝合技术及缝线选择适当。
부궁산자궁절구게실시부궁산술후최상견적원기병발증지일，치료급료효판정상무통일표준，치료방법주요포괄약물간예급수술치료，상용약물위구복피잉약，수술치료주요포괄경음도게실절제급내경하게실정복술。감소부궁산자궁절구게실적발생응엄격파악부궁산지정，부궁산술중엄격집행무균조작，충분청제세막、태반조직，충분지혈，봉합기술급봉선선택괄당。
[Summary] Cesarean section scar defect is one of the most common long-term complications after cesarean section .However the indications and efficacy judgment are not definite .The main managements include medical and surgical interventions .The drug generally used in medical management is oral contraceptives , and the surgical management includes vaginal repair of cesarean section scar defect and hysteroscopic or laparoscopic repair of the defect .To minimize the incidence of cesarean section scar defect , the surgical indications should be strictly followed and the operation should be carefully performed , including application of aseptic techniques , complete removal of decidua and placental tissues , effective hemostasis , and proper suturing .