Investigation and analysis of status of domestic cesarean scar diverticulum
ZHANG Hong-hui1 LUO Wen-xiang2▲ CUI Xiang-hua2 LIU Qiao-ping1 HE Yu-ning1 SHI Li-fang2 WANG Ai-li2 WANG Lu2
1.Department of Outpatient,Yuxi Hospital of Traditional Chinese Medicine,Yunnan Province,Yuxi 653100,China;
2.Department of Obstetrics and Gynecology,Eastern District Air Force Hospital,Jiangsu Province,Nanjing 210002,China
Abstract：Objective To investigate the status of cesarean scar diverticulum (CSD).Methods On the homepage of Wanfang database,the key words "uterine incision diverticulum/defect/false cavity" or "uterine scar diverticulum/defect/false cavity" or "uterine scar diverticulum/defect/false cavity" or "cesarean scar diverticulum/defect/false cavity" or"cesarean scar diverticulum/defect/false cavity" or "cesarean scar diverticulum/defect/false cavity" were input.The "cross-database search" and "all journals" were selected,"limited annual range" was from 1982 to 2016,all Chinese documents on CSD were searched,and then statistical analysis was made according to time,region and hospital level.Results There were 322 articles and 12 646 cases of CSD in Wanfang database.The earliest time was in 2007.With the development of the times,the proportion of the number of documents and cases increased rapidly.By 2015,the number of documents (110 articles) was 3,1 times higher than that in the previous 5,7 years (2007-2011,2007-2013),while the number of cases(5920 cases)was 8 and 2 times of the previous 5,7 years respectively.There were 29 provinces/municipalities directly under the central government/autonomous region/special administrative region,accounting for 85.29% (29/34).Among them,the top five provinces were Guangdong,Hu′nan,He′nan,Beijing and Zhejiang,and the last five provinces were Jilin,Qinghai,Inner Mongolia Autonomous Region,Xinjiang Uygur Autonomous Region and Anhui.Documents of other medical units such as tertiary hospitals,secondary hospitals,first-class hospitals,family planning guidance service stations and those unable to check the level of hospitals accounted for 65.84% (212/322),27.33% (88/322),1.86% (6/322),2.80% (9/322) and 2.17% (7/322),respectively,and cases accounted for 65.04% (8225/12 646) and 29.73% (3760/12 646),1.32% (167/12 646),1.76% (222/12 646) and 2.15% (272/12 646).Conclusion CSD in China is increasing rapidly with the development of the times,and has certain regional and hospital level distribution trend.It deserves close attention and consideration of obstetric clinicians.Paying attention to the study of cesarean section uterine incision management mode and reducing cesarean section rate are the fundamental measures to prevent CSD.
张鸿慧; 骆文香; 崔向华; 刘乔平; 何玉宁; 石丽芳; 王爱丽; 王露. 国内剖宫产瘢痕部位憩室状况的调查分析[J]. 中国当代医药, 2020, 27(1): 175-179.
ZHANG Hong-hui; LUO Wen-xiang; CUI Xiang-hua; LIU Qiao-ping; HE Yu-ning; SHI Li-fang; WANG Ai-li; WANG Lu. Investigation and analysis of status of domestic cesarean scar diverticulum. 中国当代医药, 2020, 27(1): 175-179.
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