B超监测下宫腔镜电切治疗剖宫产瘢痕缺损的临床分析

Clinical analysis on hysteroscopic electric resection in treatment of cesarean section scar defect under B ultrasonic monitoring

目的:探讨B超监测下宫腔镜电切剖宫产瘢痕缺损的有效性和安全性。方法:回顾性分析16例剖宫产瘢痕缺损患者的治疗及术后随访6个月的情况。结果:16例患者手术过程顺利,均未出现手术相关并发症,术后2～3天出院。其中术前经期延长11例术后8例恢复正常;2例经量增多者术后经量均较前减少;3例月经中期出血者术后症状消失或出血量较前减少。术前9例合并下腹隐痛及坠胀不适者术后6例症状消失,2例较前减轻,1例改善不明显。2例继发性不孕者术后1例成功受孕。结论:宫腔镜电切术治疗剖宫产瘢痕缺损效果良好,且微创,术后恢复快,在B超检测下手术更安全。

Objective： To explore the effectiveness and safety of hysteroscopic electric resection in treatment of cesarean section scar defect under B uhrasonie monitoring. Methods： The situations of treatment and postoperative follow - up at six months of 16 cases with cesarean section scar defect were analyzed retrospectively. Results： The operation was completed successfully in 16 cases. No related operative complications occurred, and all the cases left the hospital at 2 -3 days after operation. Eleven cases were found with menostaxis before operation, and eight cases returned to normal after operation; two cases were found with menometrorrhagia, and all of them were improved after operation ; three cases were found with intermenstrnal bleeding, the symptom disappeared or the amount of bleeding decreased after operation. Nine cases were found with lower abdominal dull pain and discomfort, after operation, the symptoms of six cases disappeared, two cases were relieved, and one case had no obvious effect. One case got pregnancy successfully among two cases with secondary infertility. Conclusion： The curative effect of hysteroscopic electric resection in treatment of cesarean section scar defect is good, which is minimally invasive, and the recovery after operation is fast, it is more safer to operate under B ultrasonic monitoring.