宫腔镜电切术改善剖宫产术后轻中度子宫切口憩室临床症状的效果分析

发布时间：2018-01-15 21:40

本文关键词：宫腔镜电切术改善剖宫产术后轻中度子宫切口憩室临床症状的效果分析　出处：《中国微创外科杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的探讨宫腔镜治疗剖宫产术后轻中度子宫切口憩室的效果。方法 2010年9月~2014年9月,对102例轻中度剖宫产术后子宫切口憩室行B超监护下宫腔镜电切术。结果手术均顺利完成,无手术并发症。术后1年疗效评价,治愈89例(87.3%,症状完全消失,月经恢复正常),好转7例(6.9%,经期缩短5~7 d,有或无下腹部隐痛,经期加重),无效6例(5.9%,症状无改善或轻微改善)。结论对轻中度剖宫产术后子宫切口憩室患者,无生育要求而仅要求改善临床症状者,宫腔镜电切术是一项安全、有效、微创的治疗方法。
[Abstract]:Objective to evaluate the efficacy of hysteroscopy in the treatment of intrauterine diverticulum with mild to moderate incision after cesarean section. Methods from September 2010 to September 2014. 102 cases of uterine incision diverticulum after mild and moderate cesarean section were treated with hysteroscopic electroresection under B-ultrasound monitoring. Results all the operations were completed successfully and there were no complications. One year after operation, 89 cases (87.3%) were cured. The symptoms disappeared completely, menstruation returned to normal, 7 cases got better, the menstrual period was shortened by 5 ~ 7 days, there was or no pain in the lower abdomen, the menstrual period was aggravated, and 6 cases had no effect (5. 9%). Conclusion hysteroscopy is safe and effective for patients with diverticulum of uterine incision after cesarean section. Minimally invasive treatment.
【作者单位】：首都医科大学良乡教学医院妇产科首都医科大学妇产科学系;
【分类号】：R719.8
【正文快照】： 剖宫产术后子宫切口憩室(previous cesareanscar defect,PCSD)是剖宫产手术的远期并发症。指剖宫产子宫切口由于愈合缺陷出现凸向浆膜层的凹陷,除了导致不规则阴道出血、慢性盆腔痛等症状外,经血持续淤积,影响宫颈黏液栓,阻碍精子通过宫颈管,妨碍胚胎种植,可导致继发不孕[1]。

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