CAJ | 학술논문

目的探讨子宫下段剖宫产切口疤痕憩室经阴道切除的临床疗效.方法回顾性分析本院妇科2012年9月至2013年9月收治的剖宫产子宫切口疤痕憩室48例患者经阴道切除的治疗效果.结果术后3～12个月随访48例患者,44例临床症状明显改善,经期较前明显缩短,经期≤7天,淋漓出血症状消失.复查超声,44例患者切口愈合良好,未见憩室.临床有效率为91.7％.但仍有4例(8.3％)患者月经症状无明显改善,月经期仍＞7天,于8～ 12天,但较前缩.短;复查超声提示切口仍有憩室存在,但较前缩小.所有患者平均术后经期为(5.6±2.3)天,术前经期时间为(12.1±3.5)天,手术前后经期日数差异有统计学意义(P＜0.001).结论经阴道切除憩室修补治疗,创伤较小,疗效好,患者易于接受,值得临床推广.
목적 탐토자궁하단부궁산절구파흔게실경음도절제적림상료효.방법 회고성분석본원부과2012년9월지2013년9월수치적부궁산자궁절구파흔게실48례환자경음도절제적치료효과.결과 술후3～12개월수방48례환자,44례림상증상명현개선,경기교전명현축단,경기≤7천,림리출혈증상소실.복사초성,44례환자절구유합량호,미견게실.림상유효솔위91.7％.단잉유4례(8.3％)환자월경증상무명현개선,월경기잉＞7천,우8～ 12천,단교전축.단;복사초성제시절구잉유게실존재,단교전축소.소유환자평균술후경기위(5.6±2.3)천,술전경기시간위(12.1±3.5)천,수술전후경기일수차이유통계학의의(P＜0.001).결론 경음도절제게실수보치료,창상교소,료효호,환자역우접수,치득림상추엄.
Objective To explore the clinical efficacy of lower uterine segment cesarean section scar diverticulum transvaginal resection.Method Retrospectively analyzed treatment effect of 48 cases of caesarean section scar diverticulum transvaginal resection in department of gynecology of our hospital from September 2012 to September 2013.Results After 3-12 months of follow-up,clinical symptoms in 44 patients (91.7％) improved significantly,with shortened menstrual period (≤ 7 d),profusely bleeding symptoms disappeared; ultrasound showed incision healed well,without diverticulum.Clinical symptoms in 4 patients (8.3％) did not improve significantly,menstrual period was 8-12 d; ultrasound showed incision diverticulum still existed but shrunk than before.The average menstrual period of all patients after surgery was (5.6 ± 2.3)d,that before surgery was (12.1 ± 3.5) d,with statistically significant difference before and after surgery (P＜0.001).Conclusion Transvaginal resection of diverticulum is less invasive,effective,easily accepted by patients,worthy of clinical promotion.