摘要
目的:观察剖宫产术后子宫切口憩室的不同治疗方法的疗效差异。方法:选择2014年2月-2014年10月中山大学附属东华医院诊治的25例子宫切口憩室并予药物治疗的患者,按不同药物治疗分组,其中A组10例采用妈富隆治疗,B组12例采用达英治疗,C组3例予曼月乐宫腔放置,对其治疗效果进行回顾性分析。结果:用药3个月,3组患者治疗后阴道出血时间比较,差异具有统计学意义(P<0.05),组间比较,差异均具有统计学意义(P<0.05)。停药3个月后,A、B两组比较,差异无统计学意义(P>0.05)。结论:孕激素和雌激素的共同作用对剖宫产切口憩室所致的月经期延长有效,分析中似乎有稍高剂量的雌孕激素可增加用药期间疗效的趋向,停药后疗效降低。宫腔放置曼月乐的治疗方法可有效控制月经流量,缩短出血天数。对于有避孕需求的患者,以上药物治疗不失为较好的治疗方法。
Objective To investigate the treatment of uterine incision diverticulum after cesarean section. Methods From February to 2014 25 cases of uterine incision diverticulum treatment Donghua Hospital Affiliated to Zhongshan University in October and 2014 to drug treatment were divided into two groups according to different treatment, and the therapeutic effects were retrospectively analyzed. ResultsThree groups of patients had no statistical significance in age, gravidity, distance from the last cesarean section time, incision, with irregular vaginal bleeding and dysmenorrhea difference（P 0.05）, after 3 months, compared to the time of vaginal bleeding after treatment of the three groups, the differences were statistically significant（P 0.05）, between the two two groups were statistically significant（P 0.05）. 3 months after treatment, A, B two groups had no statistically significant difference（P 0.05）. Conclusion The interaction of progesterone and estrogen to extend the validity of cesarean section incision diverticulum caused by the menstrual period, the analysis seems to have slightly higher doses of estrogen and progesterone can increase the tendency during drug efficacy, reduce the curative effect after stopping drug. Treatment of intrauterine Mirena can effectively control the menstrual fl ow, shorten the bleeding time. The contraceptive needs patients, treatment or drug therapy may be better.
出处
《深圳中西医结合杂志》
2015年第12期68-69,共2页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
剖宫产切口憩室
曼月乐
避孕药
Cesarean section incision diverticulum
Mirena
Contraceptive
