宫腔镜手术治疗剖宫产子宫切口瘢痕缺陷[J].pdfVIP

· 394 · 南方医科大学学报 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% (J%South%Med%Univ)%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%2010;30(2) 宫腔镜手术治疗剖宫产子宫切口瘢痕缺陷 徐大宝，何亚琼，刘 慧，万亚军，薛 敏（中南大学湘雅三医院妇产科，湖南 长沙 410013 ） 摘要：目的探讨宫腔镜手术治疗剖宫产子宫切口瘢痕缺陷的有效性。 方法 总结分析 年 月 年 月在我 2006 5 ~2008 10 院确诊并行宫腔镜下矫形术的剖宫产切口瘢痕缺陷且术后均随访 年的 例患者临床资料。 结果 例均手术顺 1 12 12 利，未发生与手术相关并发症，术前 例经期延长者术后经期正常；术前 例经期延长伴不孕患者术后经期正常，但 9 1 1 年后仍未孕；术前 例经间期出血者症状消失；术前 例性交后出血者术后仍有症状。 结论 宫腔镜手术治疗剖宫产 1 1 子宫切口瘢痕缺陷是微创、有效的治疗方法。 关键词：剖宫产；子宫切口瘢痕缺陷；阴道出血；宫腔镜手术 中图分类 ： 文献标识码： 文章编 ： R714.69 A 1673-4254(2010)02-0394-03 Hysteroscopic treatment of women with previous cesarean scar defect XU%Da-bao,%HE%Ya-qiong,%LIU%Hui,%WAN%Ya-jun,%XUE%Min Department%of%Obstetrics%and%Gynecology,%Third%Xiangya%Hospital%of%Central%South%University,%Changsha%410013,%China Abstract: Objective To% investigate% the% effects% of% hysteroscopic% treatment% of% women% with% previous% cesarean% scar% defect% (PCSD).%Methods From%May%2006%to%October%2008,%12%patients%with%PCSD%were%diagnosed%and%treated%hysteroscopically%in% our%hospital, %all%of%them%were%successful%followed-up%for%one%year%postoperatively, %and%their%clinical%data%were%analyzed.% Results All%12%hysteroscopic%procedures%were%completed%successfully,%and%there%were%no%surgical%complications.%Nine%patients% with% longer% periods% and% 1% patient% with% intermenstrual% spotting% preoperatively% remained% asymptomatic%