摘要
目的采用宫腔镜电切或阴式子宫瘢痕修补术治疗剖宫产术后子宫瘢痕缺损,分析两种手术方式的临床应用价值。方法收集东莞市大朗医院2009年1月至2013年2月通过阴道B超及宫腔镜确诊子宫瘢痕缺损并经药物治疗无效的病例36例,按有无生育要求行宫腔镜电切或经阴道行子宫切口瘢痕缺损切除重新缝合,其中宫腔镜组16例,阴式手术组20例,术后跟踪随访6个月至1年。结果宫腔镜组治愈5例,好转6例,无效5例,总有效率68.75%;阴式手术组治愈13例,好转7例,总有效率100%。住院时间、住院费用阴式手术组比宫腔镜组明显增加(P<0.05)。结论阴式手术治疗剖宫产术后子宫瘢痕缺损,微创,效果好;而对于无生育要求,经济困难的患者选择宫腔镜电切对减轻症状也有较好的效果。
Objective The clinical value of hysteroscopic electric resection and vaginal repair of uterine scar in the treatment of uterine scar defect were analyzed. Methods 36 cases with uterine scar defect in Dalang Hospital of Dongguan City from January 2009 to February 2013 were collected,all cases were diagnosed by B - ultrasound and hysteroscopy,the medical therapy was invalid. All cases were given hysteroscopic electric resection or aginal repair of uterine scar according to fertility requirement,with 16 cases in the hysteroscope group and 20 cases in the vaginal surgery group,patients were follow - up 6 months to 1 year post - operation. Results In the hysteroscopy group 5 cases were healed,6 cases were with an improvement,5 cases were with no effect,the total effective rate was 68. 75% ;In the vaginal surgery group,13 cases were healed,7 cases were with an improvement,the total effective rate was 100% . The length of hospital stay,hospitalization expenses in vaginal surgery group were significantly increased than that in hysteroscopy group（P〈 0. 05）. Conclusion The vaginal repair of uterine scar in the treatment of uterine scar defect is minimally invasive with effectiveness. For those patients with no fertility requirement or have economic difficulties can choose hysteroscopic electric resection,which also have good effect to alleviate symptoms.
出处
《中国计划生育和妇产科》
2014年第4期40-42,共3页
Chinese Journal of Family Planning & Gynecotokology
关键词
宫腔镜电切
阴式手术
子宫瘢痕缺损
hysteroscopic electric resection
vaginal surgery
uterine scar defect
