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目的:观察剖宫产术后子宫切口憩室的不同治疗方法的疗效差异。方法:选择2014年2月-2014年10月中山大学附属东华医院诊治的25例子宫切口憩室并予药物治疗的患者,按不同药物治疗分组,其中A组10例采用妈富隆治疗,B组12例采用达英治疗,C组3例予曼月乐宫腔放置,对其治疗效果进行回顾性分析。结果:用药3个月,3组患者治疗后阴道出血时间比较,差异具有统计学意义(P<0.05),组间比较,差异均具有统计学意义(P<0.05)。停药3个月后,A、B两组比较,差异无统计学意义(P>0.05)。结论:孕激素和雌激素的共同作用对剖宫产切口憩室所致的月经期延长有效,分析中似乎有稍高剂量的雌孕激素可增加用药期间疗效的趋向,停药后疗效降低。宫腔放置曼月乐的治疗方法可有效控制月经流量,缩短出血天数。对于有避孕需求的患者,以上药物治疗不失为较好的治疗方法。
Objective: To observe the curative effect of different treatment of uterine incision diverticula after cesarean section. Methods: Twenty-five cases of hysteroscopic diverticulum diagnosed and treated by Tung Wah Hospital Affiliated to Sun Yat-sen University from February 2014 to October 2014 were selected and divided into groups according to different medical treatment. Among them, 10 cases were treated with Marvelon in group A, Twelve cases were treated with up-British, three cases in group C were given to Mirena luteal cavity, and the therapeutic effect was retrospectively analyzed. Results: After 3 months of treatment, the vaginal bleeding time of three groups was statistically significant (P <0.05). There was significant difference between the two groups (P <0.05). Three months after discontinuation, there was no significant difference between A and B groups (P> 0.05). CONCLUSION: The combination of progestin and estrogen is effective in prolonging the menstrual period caused by cesarean section incision diverticula. It seems that slightly higher dosage of estrogen and progesterone may increase the curative effect during the medication, and reduce the curative effect after withdrawal. Intrauterine placement of Mirena treatment can effectively control the menstrual flow, shorten the days of bleeding. For patients with contraceptive needs, the above drug treatment may well be a better treatment.