阴式手术治疗剖宫产术后子宫切口憩室53例疗效观察  

Transvaginal Cesarean scar defect resection suture surgery treatment of women with previous cesarean scar defect

作　　者：王马列[1] 梁润彩[1] 

机构地区：[1]中山大学附属第一医院妇产科,广东广州510008

出　　处：《暨南大学学报（自然科学与医学版）》2013年第4期417-420,共4页Journal of Jinan University(Natural Science & Medicine Edition)

基　　金：广东省科技计划项目(2007B030502009)

摘　　要：目的：探讨阴式子宫切口憩室切除修补术治疗剖宫产术后子宫切口憩室的有效性。方法：回顾性分析确诊并行阴式子宫切口憩室切除修补术的53例宫产术后子宫切口憩室患者的临床资料。结果：全部患者手术顺利，无任何手术相关并发症。术前45例经期延长，其中4例失访，术后月经缩短天数为1～20d不等，平均（6．7±3．7）d，其中4｜D例术后经期正常，2例经期较前明显缩短，3例月经症状无好转；2例经期延长伴不孕患者术后经期正常，其中1例自然妊娠并足月剖宫产分娩；2例经间期阴道流血患者术后症状元明显好转。术后42例患者复查阴道彩超，结果显示35例憩室消失，4例憩室较前缩小，3例憩室无变化。手术有效率达89．8％。结论：阴式子宫切口憩室切除修补术治疗剖宫产术后子宫切口憩室是一种微创可行且有效的治疗方法。Aim ：To study the effects of transvaginal cesarean scar defect resection suture surgery treatment of women with previous cesarean scar defect. Methods： A retrospective analysis of 53 patients who were treated by transvaginal cesarean scar defect resection suture surgery. Results： All transvaginal cesarean scar defect resection suture surgery procedures were completed successfully, and there were no surgical complications. 45 patients with longer period preoperatively, 4 of them were fail to visit after given operation, had shorten the period from 1 to 20 days, the average was 6.7 days. 40 of them remained asymptomatic after transvaginal cesare~ scar defect resection suture surgery, 2 patients＇ menstruation periods became shorter, and 2 patients with longer periods and infertility experienced normal periods one with of those has a natural pregnancy and term delivery. But 2 patients with intermenstrual spotting and 3 patients with longer periods preoperatively remained the same as before after surgery. 42 patients reviewed by transvaginal ultrasound, 35 patients＇ cesarean scar defect disappeared but 3 patients were not variable. Conclusion：Transvaginal cesarean scar , 4 patients＇ became smaller, defect resection suture surgery of women with PCSD was minimally invasive, feasible and effective.

关 键 词：剖宫产 子宫切口憩室 阴式子宫切口憩室切除修补术 疗效 

分 类 号：R713.4[医药卫生—妇产科学]