摘要
目的分析子宫剖宫产术后瘢痕缺损的临床诊疗与防治方法。方法选取2012-2014年东莞市第三人民医院收治的120例剖宫产后瘢痕缺损患者进行临床资料回顾性分析,根据患者的瘢痕情况选择不同的手术治疗方法,其中主要应用了宫腔镜下子宫瘢痕电凝切除术、经阴道前穹窿切开后瘢痕修补术以及宫腔镜确定瘢痕位置后行腹腔镜子宫瘢痕修补术等手术治疗方法。结果患者经手术治疗后于术后6个月内行宫腔镜检查,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。其中治疗显效52例,有效38例,无效30例,治疗有效率为75.00%。结论瘢痕缺损是剖宫产的常见并发症,手术是其有效治疗方法。行剖宫产时需严格遵守手术操作规范,并科学选择剖宫产切口以及改进子宫切口缝合技巧,能有效降低剖宫产术后瘢痕缺损的发生率。
Objective To analyze the clinical diagnosis,treatment,and prevention methods of cesarean uterine scar defects.Methods The clinical data of 120 cases with cesarean uterine scar defects treated in the hospital from 2012 to 2014 were analyzed retrospectively,different surgical methods were taken according to the patients＇ scar,including hysteroscopic uterine scar electrocoagulation resection,transvaginal fornix incision and scar repair surgery,and laparoscopic scar repair surgery after determining scar position by hysteroscopy.Results Hysteroscopy was conducted within 6 months after surgery,uterine scar defects decreased significantly or disappeared,menstruation returned to normal,pelvic pain was alleviated effectively. The surgery was significantly effective in 52 cases,effective in 38 cases,and ineffective in 30 cases,the effective rate of treatment was 75. 00%. Conclusion Scar defects are common complications of cesarean section,surgery is effective. Complying with surgical procedures strictly,choosing incision of cesarean section,and improving suture technique can effectively reduce the incidence rate of cesarean scar defects.
出处
《中国妇幼保健》
CAS
2016年第24期5266-5268,共3页
Maternal and Child Health Care of China
基金
东莞市医疗卫生科技计划(66-20131051010065)
关键词
子宫剖宫产
瘢痕缺损
临床诊治
Cesarean section
Scar defect
Clinical diagnosis and treatment
