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目的探讨炔雌醇环丙孕酮治疗剖宫产术后子宫切口憩室的临床疗效。方法 74例剖宫产术后子宫切口憩室患者,随机分成对照组与治疗组,各37例。对照组应用中成药治疗,治疗组应用炔雌醇环丙孕酮治疗。比较两组的治疗效果。结果治疗组用药后的经期时长(8.62±2.78)d显著短于对照组(9.22±3.38)d与用药前(11.54±3.83)d,差异具有统计学意义(P<0.05)。治疗组不良反应发生率21.62%高于对照组5.41%,差异具有统计学意义(P<0.05)。结论剖宫产术后子宫切口憩室应用炔雌醇环丙孕酮治疗具有显著缩短经期的功效,但是不良反应发生率高,不是治疗子宫切口憩室的理想疗法,必须时仍需要采取手术治疗。
Objective To investigate the clinical efficacy of ethinyl estradiol and cyproterone in treatment of uterine incision diverticulum after cesarean section. Methods A total of 74 patients with uterine incision and diverticulum after cesarean section were randomly divided into control group and treatment group, 37 cases in each group. The control group was treated with proprietary Chinese medicines, and the treatment group was treated with ethinyl estradiol cyproterone. Compare the treatment effect of two groups. Results The duration of menstruation after treatment in treatment group (8.62 ± 2.78) d was significantly shorter than that in control group (9.22 ± 3.38) d and before treatment (11.54 ± 3.83) d, the difference was statistically significant (P <0.05). The incidence of adverse reactions in the treatment group was 21.62% higher than that in the control group (5.41%), the difference was statistically significant (P <0.05). Conclusion Cesarean section incision diverticulum ethinyl estradiol cyproterone treatment has a significant effect of shortening the menstrual cycle, but the high incidence of adverse reactions, is not the ideal therapy for the treatment of uterine incision diverticulum, surgery still need to be taken when necessary.