CLINICAL, ECHOGRAPHIC, MORPHOLOGICAL AND IMMUNOLOGICAL CRITERIA FOR EVALUATING A WELL-FOUNDED SCAR ON THE UTERUS AFTER CESAREAN SECTION
Keywords:
cesarean section, uterine scar, pregnancyAbstract
The results of the conducted studies 102 of the manufacturer testify to the presence of essential clinical and echographic, immunological and morphological features of the "wealthy" or "insolvent" scar on the uterus after the cesarean section. The correlation analysis with the calculation of the Correlation coefficient of Gamma (G) indicates a statistically significant relationship between the average degree between the way of the delivery and the scar thickness (G = 0.55, p = 0.001), strong correlation between the ultrasound data (G = 0.74 , p = 0.002) and antibodies to type I collagen (G = 0.93, p = 0.003). Determining the level of antibodies to the type I collagen is the most important criterion confirming the usefulness of the scar on the uterus.
References
Abdurazakova MD Risk factors of perinatal morbidity and mortality in multiparous women: author. dis ... cand. Medical Sciences: 5A720101 / Tashkent Medical Institute. 2013.19 p.
Alieva E. N., Kulbaeva S. N. Caesarean section - reserves of frequency reduction // Bulletin of the Kazakh National Medical University. - 2015. - No. four.
Idelson G.L. The availability of interstitial collagen in the body for antibodies circulating in the blood: Abstract of the thesis. ... Candidate of Biological Sciences. M. -2008.
Ishchenko AI and others. Inconsistency of the uterine scar after cesarean section. The choice of the method of surgical intervention // Questions of gynecology, obstetrics and perinatology. - 2018. - T. 17. - No. 4. - P. 51-59 Kogan OM et al. Algorithm for the management of patients with inconsistency of the postoperative scar on the uterus after cesarean section // Clinical practice. - 2018. - T. 9. - No. 3.
Krasnopolsky V. I. and others. Caesarean section // M .: Medicine. - 2019. - T. 3. - 20s.
Malysheva AA et al. Experience of surgical correction of an inconsistent scar on the uterus after cesarean section at the stage of pregravid preparation // Problems of reproduction. - 2018. - T. 24. - No. 6. - S. 46-50.
Malysheva AA and others. Thinned scar on the uterus after cesarean section: an assessment of risk factors // Obstetrics and gynecology. - 2021. - No. 2.S.77-83.
WHO official website / Access mode: http://www.who.int/ru/
Klimánková V., Pilka R. Late morbidity in cesarean section scar syndrome //Ceska gynekologie. – 2018. – Т. 83. – №. 4. – С. 300-306.
He Y. et al. Four surgical strategies for the treatment of cesarean scar defect: a systematic review and network meta-analysis //Journal of minimally invasive gynecology. – 2020. – Т. 27. – №. 3. – С. 593-602.
Szkodziak P. et al. Is it necessary to correct a caesarean scar defect before a subsequent pregnancy? A report of three cases //Journal of International Medical Research. – 2019. – Т. 47. – №. 5. – С. 2248-2255
