摘要
目的：分析剖宫产术后瘢痕缺损的临床诊疗与防治方法。方法对120例剖宫产后瘢痕缺损患者的临床资料进行回顾性分析，观察患者手术治疗效果以及手术前后生活质量评分。结果患者经手术治疗，于术后半年内行宫腔镜检查，可观察到患者的子宫瘢痕缺损较术前明显缩小或消失。月经逐渐恢复正常，盆腔疼痛得到有效缓解，治疗有效90例，治疗有效率为75．00％。手术前的生活质量评分为（32．54±5．63）分，手术后的生活质量评分为（48．65±7．85）分，患者手术前后的生活质量评分差异有统计学意义（ t＝5．632，P＜0．05）。结论瘢痕缺损是剖宫产的常见并发症，手术治疗效果肯定。剖宫产手术操作规范、科学选择剖宫产切口、改进切口缝合技巧，能有效降低瘢痕缺损的发生率。
Objective To analyze the clinical treatment and prevention methods of uterine scar defects after cesarean section.Methods Retrospectively analyzed the clinical data of 120 patients with scar defect after cesarean section,it was mainly applied in the hysteroscopic uterine scar electrocoagulation resection,after anterior fornix inci-sion scar repair and hysteroscopy determine scar position underwent laparoscopic uterine scar repair such as surgery. The surgical treatment effect and the quality of life scores before and after the surgery were observed.Results The patients after surgery, six months after surgery expert hysteroscopy could be observed in patients with uterine scar defects compared with preoperation significantly shrink or disappear.Gradually returned to normal menstruation,pelvic pain effectively alleviated,effective treatment of 90 cases,the effective rate was 75.00%.Pre-operative quality of life score was （32.54 ±5.63）points,quality of life scores after surgery was （48.65 ±7.85）points,the difference was statistically significant （t=5.632,P〈0.05）.Conclusion The cesarean section scar defect is a common complica-tion of cesarean,surgery is effective treatment.We need to strictly abide by cesarean section surgery when practices and scientific selection of cesarean section and uterine incision to improve skills, which can effectively reduce the cesarean scar defect rate.
出处
《中国基层医药》
CAS
2016年第8期1145-1148,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
广东省东莞市医疗卫生科技计划项目（66-2013051010065）
关键词
子宫剖宫产
瘢痕缺损
Uterine cesarean section
Scar defect
Obstetrics and gynecology
