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目的观察超声监护下宫腔镜手术治疗剖宫产切口瘢痕缺陷的临床效果。方法选取医院确诊与治疗剖宫产切口瘢痕缺陷的患者100例为研究对象,随机分为观察组和对照组,每组50例。所有患者人院后行血清人绒毛膜促性腺激素(h CG)测定和三维彩超检查。对患者的身体进行多普勒B型超声检查,观察组在超声监护下采用宫腔镜对剖宫产切口瘢痕缺陷病灶切除术,对照组则采用经腹手术对病灶进行切除。观察2组患者治疗后术中出血量、月经恢复时间、阴道出血时间及住院时间。结果观察组术中出血量、月经恢复时间、阴道出血时间及住院时间均低于对照组(P<0.05)。结论超声监护下宫腔镜手术治疗剖宫产切口瘢痕缺陷的效果显著,术中出血少、月经恢复时间短、住院时间短,值得临床推广应用。
Objective To observe the clinical effect of hysteroscopic surgery for cesarean scar incision under ultrasonic monitoring. Methods A total of 100 patients diagnosed and treated with cesarean scar incision were randomly divided into observation group and control group, with 50 cases in each group. All patients were hospitalized with serum human chorionic gonadotropin (hCG) and three-dimensional color Doppler ultrasound examination. Doppler B-mode ultrasound was performed on the patient’s body. The observation group underwent Hysteroscopic resection of the cicatricial defect of cesarean section under ultrasound monitoring. The control group was treated with transabdominal surgery to remove the lesion. The blood loss, menstruation recovery time, vaginal bleeding time and hospital stay after treatment were observed in two groups. Results The intraoperative blood loss, menstruation recovery time, vaginal bleeding time and hospital stay in observation group were lower than those in control group (P <0.05). Conclusion The results of hysteroscopic surgery for cesarean scar incision under ultrasound monitoring are significant, less intraoperative bleeding, shorter menstruation recovery time and shorter hospital stay, which is worthy of clinical application.