Volume 19 Issue 2
Feb.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(2): 260-262, 327
YE Ren, YING Hong-jun, LI Jie. Influencing factors of diverticular regeneration after cicatricial diverticulum of caesarean section uterine incision[J]. Chinese Journal of General Practice, 2021, 19(2): 260-262, 327. doi: 10.16766/j.cnki.issn.1674-4152.001782
Citation: YE Ren, YING Hong-jun, LI Jie. Influencing factors of diverticular regeneration after cicatricial diverticulum of caesarean section uterine incision[J]. Chinese Journal of General Practice, 2021, 19(2): 260-262, 327. doi: 10.16766/j.cnki.issn.1674-4152.001782
shu

Influencing factors of diverticular regeneration after cicatricial diverticulum of caesarean section uterine incision

doi: 10.16766/j.cnki.issn.1674-4152.001782

  • Department of Obstetrics, Ningbo Women's and Children's Hospital, Ningbo, Zhejiang 315000, China

Funds:

 2018KY715

  • Received Date: 2019-06-05
    Available Online: 2022-02-19
    Abstract
  •   Objective  To explore the influencing factors of diverticulum formation after caesarean scar diverticulum operation to provide evidence for effective prevention and control measures.  Methods  The clinical data of 186 patients with scar diverticulum of caesarean section incision who underwent transvaginal surgery in Ningbo Women's and Children's Hospital from January 2016 to January 2018 were collected via retrospective investigation. They were divided into non-diverticulum group (96 cases) and diverticulum formation group (90 cases) according to the healing condition after operation. Logistic regression analysis was performed to explore the influencing factors of diverticulum formation after operation.  Results  Among the 186 patients, 90 had diverticular remodelling, and the incidence of diverticulum remodelling after caesarean section uterine incision scar chamber was 48.39%. The time of postoperative vaginal abnormal bleeding in the diverticulum remodelling group was significantly longer than that of the non-sacral group, and the postoperative vaginal abnormal bleeding time was significantly shorter in the diverticulum re-formation group than that in the non-sacral group (all P < 0.05). Univariate analysis revealed that the dilatation of the diverticulum after caesarean section in the uterine incision was significantly associated with preoperative vaginal bleeding time, surgical distance from the last caesarean section, postoperative haemoglobin value and other factors (all P < 0.05). Multivariate logistic regression analysis showed that the operation time less than 5 years before the caesarean section, and haemoglobin levels of < 110 g/L were the influence factors for diverticulum remodelling after caesarean section uterine incision scar (all P < 0.05).  Conclusion  The occurrence may be related to factors, such as caesarean section time>5 years before operation and haemoglobin levels < 110 g/L after operation. In the course of clinical treatment, targeted interventions should be adopted to reduce the occurrence of diverticulum recurrence after caesarean scar diverticulum operation.

     

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