宫腔镜电切及经阴道子宫瘢痕憩室切除缝合术在子宫瘢痕憩室治疗中的作用  

The effect of hysteroscopy and transvaginal uterine scar diverticulum resection in the treatment of uterine scar diverticulum

作　　者：丁勇利[1] 彭秀红[1] 

机构地区：[1]广东省妇幼保健院妇科,广州510010

出　　处：《中国妇幼卫生杂志》2013年第2期20-21,23,共3页Chinese Journal of Women and Children Health

摘　　要：目的探讨宫腔镜电切及经阴道子宫瘢痕憩室切除缝合术在子宫瘢痕憩室治疗中的作用。方法 2010年5月-2012年11月收治的剖宫产术后经期延长的患者共27例,均经B超联合宫腔镜检查确诊为子宫瘢痕憩室,其中13例采用宫腔镜电切术治疗,14例采用经阴道子宫瘢痕憩室切除缝合术治疗。结果术后随访12个月,经阴道子宫瘢痕憩室切除缝合术患者月经周期及经期均恢复正常;宫腔镜电切术治疗患者术后6个月月经周期及经期均恢复正常,但有4例患者术后6个月后再次出现经期延长。结论两种手术方法均能有效改善症状,对治疗子宫切口憩室均有效,从远期效果来看,经阴道子宫瘢痕憩室切除缝合术优于宫腔镜电切术。[ Objective ] To explore the effect of hysteroscopy and transvaginal utenne scar dlverhculum resecUon m me treatment of uterine scar diverticulum. [ Methods ] A total of 27 patients of uterine scar diverticulum were confirmed by B ultrasound and hysteroscopy examination since May 2010.13 cases was treated with hysteroscopic resection, 14 cases was treated with transvaginal uterine scar diverticulum resection. [ Resluts ] In the follow-up of 12 months, the menstrual cycle and the menstrual period of patients with treated with transvaginal uterine scar diverticulum resection were restored to the normal; the patients with hysteroscopic resection recovered to normal after operation, but 4 patients appeared menostaxis again after June. [ Conclusions ] Two kinds of operation method treatment of uterine incision diverticulum, but from long-term can effectively improve the symptoms, were effective in the effects, transvaginal uterine scar diverticulum resection is better than that of hysteroscopic surgery.

关 键 词：子宫瘢痕憩室 宫腔镜 阴式手术 

分 类 号：R713.4[医药卫生—妇产科学]