宫腔镜手术治疗剖宫产后子宫切口瘢痕憩室的临床疗效研究.docVIP

精品论文 参考文献 宫腔镜手术治疗剖宫产后子宫切口瘢痕憩室的临床疗效研究 朱岩 郭锦 卢乾丽 　　（四川省成都市天府新区人民医院 四川 成都 610213） 　　【摘 要】目的：探讨剖宫产后子宫切口瘢痕憩室（CSD)的宫腔镜治疗临床疗效；方法：选择2008年2月-2014年2月在我院妇产科就诊的CSD患者共67例，其中37例患者采取宫腔镜手术治疗，30例患者选择常规药物治疗，分别对其进行系统回顾分析和临床随访，统计临床疗效，对比分析；结果：手术治疗组的37例患者，手术均顺利，无1例中转开腹，术后随访半年，无不良并发症发生，其中33例患者经期恢复正常，4例患者症状无明显改善，治疗后总缓解率为89.2%，手术治疗前后患者阴道平均出血时间比较具有显著性差异，Plt;0.05具有统计学意义；药物治疗组的30例患者中，7例患者经3个疗程药物治疗后经期恢复正常，23例患者临床症状无明显改善，治疗后总缓解率为23.33%，治疗前后阴道出血平均时间比较无显著性差异，Pgt;0.05不具有统计学意义；结论：宫腔镜治疗CSD疗效明确，值得临床进一步研究推广。 　　【关键词】CSD；宫腔镜手术；药物治疗；临床疗效； 　　【中图分类号】R719 【文献标识码】B 【文章编号】1004-6194（2015）01-0046-02 　　The clinical curative effect of hysteroscopy operation in the treatment of cesarean scar diverticulum 　　Zhu yan Guo jin Lu qianli 　　(The Sichuan Province of Chengdu Tianfu New District Peoples Hospital Sichuan cheng du 610213) 　　【Abstract】objective:To investigate the uterine incision after cesarean section scar diverticulum (CSD) the clinical curative effect of hysteroscopic treatment;Methods: In the 2008 February -2014 year February in our hospital obstetrics and gynecology clinic CSD patients in 67 cases, including 37 cases of patients with hysteroscopy operation treatment, 30 patients with routine therapy, were retrospectively analyzed and the clinical follow-up system on the clinical curative effect, statistics, comparative analysis;Results: 37 cases of operation patients in the treatment group, the operation was successful, 1 cases were converted to laparotomy, after half a year of follow-up, no adverse complications, including 33 cases of patients with normal menstrual period, no significant improvement in the symptoms of 4 patients after treatment, the total remission rate was 89.2%, operation before and after treatment in patients with vaginal bleeding time comparison with significant differences, with statistical significance Plt;0.05; drug treatment group of 30 patients, 7 patients after 3 courses after treatment menstruation returned to normal, no obvious improvement of clinical symptoms