阴式手术治疗子宫切口瘢痕缺陷的临床分析  

Clinical analysis of transvaginal surgery in treatment of uterine incision scar defect

作　　者：艾小燕[1] 舒宽勇[1] 程玉芬[1] 

机构地区：[1]江西省妇幼保健院妇科,江西南昌330006

出　　处：《中国计划生育和妇产科》2015年第7期72-75,共4页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的 探讨阴式手术治疗剖宫产术后子宫切口瘢痕缺陷（子宫切口憩室）的临床疗效。方法选取2013年2月至2014年2月在江西省妇幼保健院确诊的20例子宫切口瘢痕缺陷患者,行阴式子宫切口憩室切除及子宫修补手术,术后随访6~12月,总结分析其临床疗效。结果 20例患者手术均顺利完成,术后随访复查阴道彩超,17例憩室消失,切口肌层厚度恢复正常,3例切口肌层厚度增加,憩室较前变浅,所有患者月经均恢复正常。手术有效率达100%。结论 阴式子宫切口憩室切除修补术是治疗子宫切口瘢痕缺陷有效、微创的方法。Objective To study the effects of transvaginal surgery in treatment of uterine incision scar defect （cesarean scar diverticulum）. Methods A total of 20 patients with uterine incision scar defect in Jiangxi Provincial Maternity and Child Care Hospital from Feb 2013 to Feb 2014 were selected, all patients were treated by transvaginal uterine incision diverticulum resection and uterus repair surgery, followed up for 1 year, the clinical efficacy were analyzed. Results All patients were completed operation successfully,20 patients cesarean scar defect disappeared in 17 patients reviewed by transvaginal ultrasound. The muscle thickness of incision increased and the diverticulum became shallow in 3 patients. All patients recovered normal menstrual. The effective rate of operation was 100 %. Conclusion The transvaginal uterine incision diverticulum resection and uterus repair surgery is an effective and minimally invasive treatment for uterine incision scar defect.

关 键 词：阴式手术 子宫切口瘢痕缺陷 子宫切口憩室 

分 类 号：R713.4[医药卫生—妇产科学]