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目的:探讨剖宫产术后子宫疤痕缺损的临床诊治与预防控制。方法:选取了2009年2月到2012年11月我院妇产科收治的剖宫产术后子宫疤痕缺损患者共46例,根据患者疤痕部位、大小等不同情况来选择合适的治疗方法,其中主要包括子宫疤痕电凝切除、阴道前穹窿切开后疤痕修补术等。结果:所有患者在接受手术治疗后疤痕缺损情况均得以有效缓解,治疗总有效率为82.6%,6个月后再次复查子宫疤痕缺损基本消失或明显缩小,月经逐渐恢复正常。结论:子宫疤痕缺损可根据不同症状来进行手术修补,同时要针对不同的诱因加强预防和控制,剖宫产手术中正确选择子宫剖宫产切口及改良缝合技术,以免出现感染和损伤。
Objective: To investigate the clinical diagnosis, treatment and prevention of uterine scar after cesarean section. Methods: A total of 46 cases of uterine scar defect after cesarean section were treated in our department from February 2009 to November 2012 were selected. According to the patient’s scar site, size and other circumstances to choose the appropriate treatment, in which Including uterine scar coagulation excision, vaginal fornix incision scar repair and so on. Results: All patients were treated with surgical treatment of scar defect were effectively alleviated, the total effective rate was 82.6%, 6 months after the review of uterine scar defect disappeared or significantly reduced, menstrual gradually returned to normal. Conclusions: The uterine scar defect can be repaired according to different symptoms. At the same time, it is necessary to strengthen the prevention and control for different causes. In the cesarean section, the uterine cesarean section incision and the improved suture technique should be properly selected so as to avoid infection and injury.