Impact of cesarean scar defect on reproductive outcomes after assisted reproductive technology
10.3724/zdxbyxb-2023-0539
- VernacularTitle:剖宫产子宫瘢痕缺损对采用辅助生殖技术孕妇妊娠结局的影响及对策
- Author:
Ling WANG
1
;
Chenhan ZHAO
;
Qin ZHANG
Author Information
1. 浙江中医药大学附属杭州市中医院中医妇科,浙江 杭州 310007
- Keywords:
Cesarean section;
Cesarean scar defect;
Assisted reproductive technology;
Pregnancy outcome;
Review
- From:
Journal of Zhejiang University. Medical sciences
2024;53(3):313-320
- CountryChina
- Language:Chinese
-
Abstract:
In the last twenty years,the cesarean section rate has been rising in China,leading to an increased prevalence of cesarean scar defect(CSD)and secondary infertility.CSD decreases receptivity of endometrium,induces adenomyosis and endometriosis,disrupts uterine micro-environment and causes difficulties in embryo transplant operation as well as has further pregnancy complications.For women undergoing assisted reproductive technology(ART),CSD significantly reduces live birth rate,clinical pregnancy rate and embryo implantation rate.CSD can be effectively treated by hysteroscopic surgery,laparoscopic surgery and transvaginal surgery to increase the pregnancy rate.This article reviews the research progress on the impact of CSD on the reproductive outcomes of ART,the potential factors and related treatments,and provides a reference for the management of CSD patients undergoing ART.
