文献詳細
今月の臨床 異常子宮出血(AUB)の診断と治療―婦人科診療の基本を鍛える!
稀な疾患を見逃さないために
文献概要
●異常子宮出血(AUB)の原因となる稀な疾患として帝王切開瘢痕部症候群と子宮動静脈奇形がある.
●いずれも診断基準や管理方法が時代によって変化しており,その動向をup dateしたうえでの管理が必要である.
●いずれも診断基準や管理方法が時代によって変化しており,その動向をup dateしたうえでの管理が必要である.
参考文献
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2)Tanimura S, et al : New diagnostic criteria and operative strategy for cesarean scar syndrome : endoscopic repair for secondary infertility caused by cesarean scar defect. J Obstet Gynaecol Res 41 : 1363-1369, 2015
3)Donnez O, et al : Gynecological and obstetrical outcomes after laparoscopic repair of a cesarean scar defect in a series of 38 women. Fertil Steril 107 : 289-296.e2, 2017
4)Donnez O : Cesarean scar disorder : management and repair. Best Pract Res Clin Obstet Gynaecol 90 : 102398, 2023
5)Jordans IPM, et al : Sonographic examination of uterine niche in non-pregnant women : a modified Delphi procedure. Ultrasound Obstet Gynecol 53 : 107-115, 2019
6)Tsuji S, et al : Pregnancy outcomes after hysteroscopic surgery in women with cesarean scar syndrome. PLoS One 15 : e0243421, 2020
7)Iraha Y, et al : Multimodality imaging in secondary postpartum or postabortion hemorrhage : retained products of conception and related conditions. Jpn J Radiol 36 : 12-22, 2018
8)Timor-Tritsch IE, et al : Ultrasound diagnosis and management of acquired uterine enhanced myometrial vascularity/arteriovenous malformations. Am J Obstet Gynecol 214 : 731.e1-731.e10, 2016
9)Timmerman D, et al : Color Doppler imaging is a valuable tool for the diagnosis and management of uterine vascular malformations. Ultrasound Obstet Gynecol 21 : 570-577, 2003
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