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目的:探讨剖宫产术后子宫疤痕憩室的两种手术治疗的有效性。方法:回顾性分析2012年4月到2014年6月我院妇科收治的32例剖宫产子宫疤痕憩室病例,根据B超及宫腔镜测量憩室的大小及厚度情况,选择宫腔镜下电凝切除或宫腔镜探查定位经阴道切除疤痕憩室修补(即宫腔镜联合阴道手术)二种手术治疗方法。结果:24例实施宫腔镜手术的患者中18例为有效,有效率为75.0%,8例宫腔镜联合阴道手术的患者中5例为有效,有效率为62.5%,本研究中32例患者手术总有效率为68.75%。结论:根1据憩室的厚度与大小选择不同的手术方法,能减少创伤,达到一定的治疗效果。
Objective: To investigate the effectiveness of two kinds of surgical treatment of uterine scar diverticulum after cesarean section. Methods: A retrospective analysis of 32 cases of cesarean scar scar diverticulum admitted to our hospital from April 2012 to June 2014 was performed. According to the size and thickness of diverticulum measured by B-mode ultrasonography and hysteroscopy, Congeal removal or hysteroscopy exploration of vaginal resection of scar diverticulum repair (hysteroscopy combined with vaginal surgery) two surgical treatment. Results: Among the 24 patients who underwent hysteroscopic surgery, 18 were effective and the effective rate was 75.0%. Among the 8 patients who underwent hysteroscopy and vaginal surgery, 5 were effective and the effective rate was 62.5%. In this study, 32 patients The total effective rate of patients was 68.75%. Conclusion: According to the diverticulum according to the thickness and size of the selection of different surgical methods, can reduce trauma and achieve a certain therapeutic effect.