炔雌醇环丙孕酮治疗剖宫产术后子宫切口憩室37例疗效观察

发布时间：2018-06-03 01:42

本文选题：炔雌醇环丙孕酮 + 子宫切口憩室　；参考：《实用妇产科杂志》2015年09期

【摘要】：目的:探讨口服炔雌醇环丙孕酮(达英-35)治疗剖宫产术后子宫切口憩室的疗效。方法:选择本院就诊的37例剖宫产术后子宫切口憩室患者,分为2组,A组20例采用口服炔雌醇环丙孕酮+中成药治疗,B组17例单纯使用中成药治疗。观察两组治疗效果。结果:两组患者治疗期间经期均缩短,A组经期时长短于B组,两组比较差异有统计学意义(P0.05)。A组治疗6月较治疗3月及1月经期时长更短,差异有统计学意义(P0.05);治疗6月停药后与用药前比较经期时长更短,差异有统计学意义(P0.05)。B组治疗前、停药后经期无改变(P0.05)。A组用药过程中发生药物副反应比例明显高于B组(P0.05),但愿意继续服药比例两组比较差异无统计学意义(P0.05)。两组用药前、后阴道超声检查憩室直径均无明显改变(P0.05)。结论:炔雌醇环丙孕酮治疗剖宫产术后子宫切口憩室缩短经期效果明显,但不是治疗剖宫产术后子宫切口憩室的根本措施,可能仍需借助手术处理。
[Abstract]:Objective: to investigate the efficacy of oral administration of ethylestradiol cycloproprogesterone (Daxin-35) in the treatment of uterine incision diverticulum after cesarean section. Methods: Thirty-seven patients with diverticulum of uterine incision after cesarean section were divided into two groups: group A (n = 20) treated with oral ethylestradiol cycloproprogesterone (group B) and group B (n = 17) treated with traditional Chinese medicine only. The therapeutic effect of the two groups was observed. Results: the menstrual period in group A was shorter than that in group B, and the difference between the two groups was statistically significant (P 0.05). Group A had shorter menstrual period in 6 months than that in 3 months and 1 month. The difference was statistically significant (P 0.05), the menstrual period was shorter after 6 months of treatment than before treatment, and the difference was statistically significant before treatment in group B (P 0.05). The proportion of side effects in group A was significantly higher than that in group B, but there was no significant difference between the two groups. Before treatment, the diameter of diverticulum was not significantly changed in both groups. Conclusion: the effect of ethynylestradiol cycloprogestrel in the treatment of uterine incision diverticulum after cesarean section is obvious, but it is not the fundamental measure to treat the incision diverticulum after cesarean section, but it may still need to be treated by operation.
【作者单位】：暨南大学医学院附属深圳市宝安区妇幼保健院;
【分类号】：R719.8

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