Clinical analysis of 156 abnormal uterine bleeding cases due to cesarean section scar diverticulum

Abstract

Objective To investigate the clinical manifestation and inspection method about abnormal uterine bleeding due to cesarean section scar diverticulum. Methods retrospective analysis of 156 abnormal uterine bleeding cases due to cesarean section scar diverticulum. Analysis the relevance ratio, the starting time of clinical symptom, related influencing factors, the information of examine and misdiagnose. Results there are 12 cases cesarean section scar diverticulum in 2010;30 cases in 2011;26 cases in 2012;37 cases in 2013;51 cases in 2014.The starting time of clinical symptom is 1~6 month pose menstrual in 48 cases;6 months to 2 years pose menstrual in 89 cases,2 years later pose menstrual in 19 cases.98 cases don't have evidential abnormality even through many times ultrasonograph.43 patients subjected diagnosis curettage. The uterine bleeding time obviously longer comparing retroposition of uterus with anteposition and msposition of uterus. Conclusion the morbidity of abnormal uterine bleeding cases due to cesarean section scar diverticulum is low, but the rate of misdiagnosis and missed diagnosis is little higher. We need to elevate the rate of diagnosis, and to research the preservation and magagement gradually. Key words: Diverticulum; Abnormal uterine bleeding; Cesarean section; Uterine scar