CAJ | 학술논문

目的分析剖宫产引起的子宫瘢痕憩室采用经阴道切除式手术治疗的临床效果.方法对2009年3月至2013年9月剖宫产术后因出现长期经期时间明显延长来我院就诊的患者,采用宫腔镜、B超等相关检查方法发现有子宫瘢痕处憩室的共55例,其中12例患者采用经阴道子宫瘢痕处憩室切除术.对该12例患者的资料进行回顾性分析.结果 12例手术均成功完成,经阴道切除憩室平均手术时间为(52±10)min,平均术中出血量为(15±5)ml,平均住院时间(5±2)d,术后并发症1例(8.3％).手术后随访24个月,术后缓解10例(83.3％),月经周期规律患者10例,术后3个月B超复查子宫憩室2例.结论经阴道手术对子宫瘢痕憩室进行切除,对治疗剖宫产子宫处的瘢痕憩室有很明显的效果,值得在临床上进行推广.
목적 분석부궁산인기적자궁반흔게실채용경음도절제식수술치료적림상효과.방법 대2009년3월지2013년9월부궁산술후인출현장기경기시간명현연장래아원취진적환자,채용궁강경、B초등상관검사방법발현유자궁반흔처게실적공55례,기중12례환자채용경음도자궁반흔처게실절제술.대해12례환자적자료진행회고성분석.결과 12례수술균성공완성,경음도절제게실평균수술시간위(52±10)min,평균술중출혈량위(15±5)ml,평균주원시간(5±2)d,술후병발증1례(8.3％).수술후수방24개월,술후완해10례(83.3％),월경주기규률환자10례,술후3개월B초복사자궁게실2례.결론 경음도수술대자궁반흔게실진행절제,대치료부궁산자궁처적반흔게실유흔명현적효과,치득재림상상진행추엄.
Objective To retrospectively analyze the treatment efficacy of the vaginal surgery on formation of uterine cesarean section scar diverticulum.Method Data of 12 patients was retrospectively analyzed with diverticulum of historical data.Results From March 2009 to September 2011 in our hospital,patients were treated for the reason of menstrual period prolonging after caesarean section operation.Among them 55 patients were found to have uterine cesarean section scar diverticulum by detecting methods of hysteroscope and B ultrasound.12 cases were successfully completed in transvaginal surgery.The average of surgery was (52 ± 10)min,the average bleeding was (15 ± 5) ml,the average length of hospital stays was (5 ± 2) d.The postoperative complications rate was 8.3％.The surgery patients were followed for 24 months.The symptom relief rate was 83.3％.Menstrual period before surgery can be reduced after the operation,10 of the 12 patients menstrual cycle became regular during 24 months after the operation,2 patients showed diverticulum by hysteroscopy.Conclusion Transvaginal uterine scar diverticulum resection for treatment of diverticulum has obvious effect.It is worth of popularizing in clinic.