宫腹腔镜下瘢痕切除修补术与妈富隆治疗剖宫产切口憩室效果比较  

Efficacy of two different treatments of cesarean section scar diverticulum: scar excision and repair by laparoscopy combined hysteroscopy and marvelon cycle therapy

作　　者：陈晓琦[1] 洛若愚[1] 皮洁[1] 贾胜楠[1] 

机构地区：[1]武汉大学人民医院妇I科,武汉430060

出　　处：《中国性科学》2016年第7期131-133,共3页Chinese Journal of Human Sexuality

摘　　要：目的:比较宫腹腔镜下瘢痕切除修补术与妈富隆在剖宫产切口憩室中的治疗效果,探讨手术的临床价值。方法:收集2010年2月至2014年1月在我院就诊的剖宫产切口憩室患者98例,分别采用宫腹腔镜下剖宫产切口瘢痕切除修补术(观察组)和妈富隆周期治疗(对照组),分析比较两组患者治疗效果。结果:观察组术后阴道出血持续时间为(9.65±1.72)d,月经量减少至正常者占22.5%,愿意再次妊娠者占25.0%,超声提示切口完全愈合占72.5%,明显缩小占20.0%,无明显变化占7.5%。对照组治疗后阴道出血持续时间为(13.74±1.83)d,月经量减少至正常者占5.2%,愿意再次妊娠者占5.2%,切口憩室无明显变化。两组间各项差异有统计学意义(P<0.05)。结论:宫腹腔镜下瘢痕切除修补术可明显缩短阴道出血持续时间,其有效性和治疗彻底性均优于妈富隆周期治疗,值得临床推广应用。Objectives： To compared the clinical value of scar excision and repair by laparoscopy combined hysteroscopy with marvelon cycle therapy in the treatment of cesarean section scar diverticulum. Methods： 98 patients in our hospital between February 2010 and January 2014 were selected and divided into laparoscopy combined hysteroscopy group and marvelon cycle therapy group. The clinical efficacy was analyzed. Results： The vaginal bleeding time in the study group was（ 9. 65 ± 1. 72） d. The patients whose menstruation returned to normal accounted for 22. 5%,and the rate of re- pregnancy was 25. 0%. The patients whose incision completely healed accounted for 72. 5%,and those with significantly reduced and no changed incision were 20. 0% and 7. 5% respectively. In control group,the vaginal bleeding time was（ 13. 74 ± 1. 83） d. The patients whose menstruation returned to normal accounted for 5. 2%,and the rate of re- pregnancy was 5. 2%. Incision defect of patients had no significant improvement. The differences between two groups were significant（ P〈0. 05）. Conclusion： The scar excision and repair surgery can effectively reduce the vaginal bleeding time,and its effectiveness and thoroughness is significantly higher than marvelon cycle therapy,which should be widely applied.

关 键 词：剖宫产切口憩室 宫腹腔镜联合手术 妈富隆 

分 类 号：R714.4[医药卫生—妇产科学]