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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 investigate the effectiveness and safety of hysteroscopic cesarean section scar under ultrasound monitoring. Methods: A retrospective analysis of 16 cases of cesarean scar defect in patients with treatment and follow-up of 6 months. Results: The operation procedure of 16 patients was smooth without any operation-related complications. The patients were discharged 2 to 3 days after operation. Among them, 11 cases were prolonged preoperatively and 8 cases returned to normal after operation. The amount of postoperative menstrual flow decreased in 2 cases and the disappearance or bleeding amount decreased in 3 cases. Preoperative 9 cases of abdominal pain and bulge discomfort were 6 cases of symptoms disappeared, 2 cases lighter than before, 1 case did not improve significantly. Two cases of secondary infertility were successful in one case after pregnancy. Conclusion: Hysteroscopic resection of cesarean scar defect treatment effect, and minimally invasive, postoperative recovery faster, under the B-ultrasound surgery safer.