现代妇产科进展Issue(8):580-582,3.DOI:10.13283/j.cnki.xdfckjz.2015.08.005
不同手术方式治疗剖宫产术后子宫切口憩室的疗效比较
Analysis of the efficacy of different operations in treating patients with previous cesarean scar defect
姚秀华 1祝文峰 1黄卓敏 1江旋1
作者信息
- 1. 南方医科大学附属深圳妇幼保健院妇科,深圳 518000
- 折叠
摘要
Abstract
Objective:To compare the efficacy of different operations in treating pa-tients with previous cesarean scar defect(PCSD). Methods:Sixty-nine cases of PCSD were se-lected as study objects from Shenzhen Maternity and Child Healthcare Hospital of Southern Medical University,and divided into three groups due to different operation:18 cases were trea-ted with hysteroscope (group A),23 cases were treated with hysteroscopy combined with lapa-roscopy(group B),28 cases were treated with transvaginal uterine scar diverticulum resection(group C). Results:Menstruation recovery after surgery:the response rate of group B(87% ) and group C (86% ) were significantly higher than that of group A(50% )(P<0. 05). Postop-erative PCSD improvement:The response rate of group B(91% ) and group C (86% ) were sig-nificantly higher than that of group A(33% ). There was no significant difference between group B and group C (P>0. 05). Conclusion:In therapeutic efficacy of PCSD,hysteroscopy combined with laparoscopy are similar with transvaginal uterine scar diverticulum resection and better than hysteroscope. Although three kinds of operation have different advantages and disadvantages,the operation method should be chosen depending on the individual condition to reach the best out-come.关键词
子宫切口憩室/宫腔镜/腹腔镜/阴式手术Key words
Previous cesarean scar defect/Hysteroscopy/Hysteroscopy combined with laparoscopy/Transvaginal uterine scar diverticulum resection分类
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姚秀华,祝文峰,黄卓敏,江旋..不同手术方式治疗剖宫产术后子宫切口憩室的疗效比较[J].现代妇产科进展,2015,(8):580-582,3.