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目的探讨子宫下段剖宫产术后子宫瘢痕处憩室经阴道切除的临床疗效。方法对本院2010年2月至2012年2月,采用经阴道子宫瘢痕处憩室切除术54例患者的临床资料进行回顾性分析。结果所有患者,术中经过顺利完成,手术时间平均为(1.0±0.5)h,术中出血量平均为(67.3±32.9)mL,术后平均住院(3.9±2.2)d。术后随访10～24个月,症状缓解率为94.44%,术后经期较术前平均减少(4.6±2.9)d,差异有统计学意义(P<0.001)。结论目前剖宫产率较高,子宫瘢痕处憩室是剖宫产后术后的远期并发症,患者经期延长或出血淋漓不断,给工作和生活带来不便,经阴道切除治疗创伤较小,短期内即有明显效果,患者易于接受,值得临床推广。
Objective To investigate the clinical effect of transvaginal mucosal resection of uterine scar after cesarean section in lower uterine segment. Methods From February 2010 to February 2012 in our hospital, clinical data of 54 patients with vaginal uterine scar resection in diverticulum were analyzed retrospectively. Results All the patients were successfully performed during operation. The average operation time was (1.0 ± 0.5) h, the average amount of bleeding during operation was (67.3 ± 32.9) mL, and the average postoperative hospital stay was (3.9 ± 2.2) d. The postoperative follow-up ranged from 10 to 24 months. The rate of symptom relief was 94.44%. The mean postoperative menstrual period was (4.6 ± 2.9) d less than that before the operation. The difference was statistically significant (P <0.001). Conclusions The current cesarean section rate is high, and the cicatrix scar diverticulum is a long-term complication after cesarean section. The patient’s menstrual period is prolonged or bleeding is dripping continuously, which brings inconvenience to work and life. Transvaginal resection is less invasive, In the short term there are obvious effects, patients are easy to accept, worthy of clinical promotion.