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一次剖宫产就是疤痕子宫吗?

2018-05-18 邹世恩 恩哥聊健康

这是肯定的。简单地说,只要子宫肌层动过刀,都算疤痕子宫,就像手上被划一刀,会留下疤。

这是肯定的。简单地说,只要子宫肌层动过刀,都算疤痕子宫,就像手上被划一刀,会留下疤。

01.剖宫产是最常见的疤痕子宫原因

我们常说的剖腹产实际上应该叫做剖宫产。剖腹的概念只到打开肚子就是了,剖宫产是在剖腹的基础上,还切开子宫,这样才能取出胎儿来。

剖宫产术,必须子宫肌层全层切开,算是比较彻底的疤痕了,也是疤痕子宫最常见的原因。

02.还有几种常见的疤痕子宫

子宫肌瘤剥除手术

子宫肌瘤长在子宫上的位置有深有浅,浅的肌瘤,剥除时候只要切开一点子宫肌层,这个疤痕就比较浅;极端的情况下完全带蒂的像梨一样的肌瘤,只需要剪掉蒂就可以,这类的疤痕可以忽略不计;深的肌瘤,有的甚至会切开肌层到达宫腔,这个时候和剖宫产造成的效果差不多了;还有一种是宫腔里的粘膜下肌瘤,可以通过宫腔镜手术切除,子宫造成的疤痕和挖肌瘤的深浅有关系,越深对子宫的影响越大。

宫腔手术操作引起的子宫穿孔

比如说人流、刮宫、取环放环等手术操作,这些操作本身不会造成疤痕子宫,但是如果出现失误,导致子宫穿孔,也子宫疤痕的一种。而且这种疤痕很多时候不需要手术修补,自己就长好了,很容易被忽视掉。然而,这个薄弱点依旧存在,如果再次怀孕,就可能留下比较大的隐患,导致子宫破裂出血。

子宫纵隔切开术

子宫纵隔是长在子宫腔里的,一般在宫腔镜下切开,理论上讲切地越到底越平整当然越好;但是有时候很难控制是否会切过头,尤其是宫底外观有凹陷呈鞍状,有可能会造成宫底部肌层的薄弱,这也是一种疤痕子宫。

03.疤痕子宫的危害体现在再次怀孕时

如果没有再次怀孕,疤痕子宫就只是疤痕子宫而已,一般不会造成什么不好的后果。但是,一旦怀孕,疤痕子宫的风险就冒出来。

凶险性前置胎盘

剖宫产术后再次怀孕的时候很容易出现前置胎盘、胎盘植入,就是所谓的凶险性前置胎盘。顾名思义,在孕期和剖宫产时容易大出血、休克、切子宫,甚至危及生命。

子宫破裂

所有的疤痕子宫,都存在这种风险。子宫手术后的愈合情况很难在备孕阶段进行准确的评估,怀孕后子宫变大,疤痕如果愈合不良,就有很大的风险出现子宫破裂,这种破裂有可能出现“一尸两命”的结局。

剖宫产切口妊娠

请输入文字早期胚胎种植在剖宫产切口处,容易造成子宫破裂,或者后期的凶险性前置胎盘。一旦发现,需要及时终止,不能继续怀孕。

剖宫产切口憩室

子宫切口愈合不良,会形成一个小洞洞,平时可能引起月经淋漓不尽,比较严重的话,需要手术进行修补。

04.疤痕子宫再次怀孕的注意事项

凡是预防要走在前头,在手术时候要缝合结实,让疤痕能长得好。术后还要保留足够的时间让疤痕愈合,然后才可以试孕。

孕早期要排除是否疤痕部位的妊娠,孕中晚期如果腹痛要小心,尤其是不明原因的腹痛,就得考虑到子宫破裂的可能。

我们就曾经遇到一个晚孕期下腹痛,怎么保守治疗都无效,最后开进去发现是右侧宫角有个小洞洞在冒血,在追问病史,原来是数年前曾有过宫腔放置举宫器的情况,把子宫顶出个小洞。

疤痕子宫不容小觑,预防在前头,怀上需谨慎。

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    2018-05-24 122d508am87暂无昵称

    学习了

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    2018-05-20 HinsMax
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    2018-05-20 txqjm

    谢谢了.学习

    0

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    2018-05-19 易水河

    学习学习了

    0

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    2018-05-19 邓启付

    伤及肌层肯定会有疤痕.和皮肤伤及真皮层一样.

    0

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    2018-05-19 明月清辉

    谢谢分享.学习了

    0

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    2018-05-19 12225669m29暂无昵称

    学习

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=318243, encodeId=e46431824393, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3e462362503, createdName=122d508am87暂无昵称, createdTime=Thu May 24 22:39:33 CST 2018, time=2018-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1394110, encodeId=4ee413941101e, content=<a href='/topic/show?id=7b29e0460b1' target=_blank style='color:#2F92EE;'>#疤痕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70460, encryptionId=7b29e0460b1, topicName=疤痕)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/qXbLjJB4FSzhQS3C5qQFMJkqicRIJFL6zHFwwhv0I95nzA6xicevQcEica0gk4A58UkbMMriadAgTY2b7N7Yd0ZsQg/132, createdBy=910c2500152, createdName=HinsMax, createdTime=Sun May 20 14:39:00 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316830, encodeId=e1a03168308b, content=谢谢了.学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=30331616752, createdName=txqjm, createdTime=Sun May 20 07:16:47 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316621, encodeId=994e31662138, content=学习学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKibA62IFMeUJEmSyIe8DvYFeERuOsfrRd8iano7nENqQU1dRR3tqeQOUL3eqgYgEZRT2t2iaEsib0JEw/132, createdBy=66771693911, createdName=易水河, createdTime=Sat May 19 11:38:43 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316597, encodeId=f9d731659eb1, content=伤及肌层肯定会有疤痕.和皮肤伤及真皮层一样., beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Sat May 19 09:55:53 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316562, encodeId=ff4c31656269, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat May 19 08:32:05 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316506, encodeId=8df8316506a1, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e9572310056, createdName=12225669m29暂无昵称, createdTime=Sat May 19 06:50:25 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316442, encodeId=fd3631644238, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Sat May 19 00:11:00 CST 2018, time=2018-05-19, status=1, ipAttribution=)]
    2018-05-19 飛歌

    学习了很有用不错

    0

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