宫腔镜手术对剖宫产瘢痕缺陷所致月经异常患者的临床疗效观察

目的:研究宫腔镜手术(hysteroscope operation,HO)对剖宫产瘢痕缺陷(Cesarean scar defect,CSD)所致月经异常(abnormal menstruation,AM)病患的临床疗效。方法:选择我院2009年7月-2013年7月收治的200例CSD所致AM病患进行观察,以数字法随机分2组。观察组(100例)给予HO治疗,对照组(100例)实施保守疗法。比较两组病患月经持续时间,月经流血量以及疗效情况。结果:观察组月经持续时间为(6.65±1.18)d,月经流血量为(63.24±10.49)mL,较对照组的(8.63±1.08)d,(81.62±11.52)ml,明显更低;观察组显效率为72.00%(72/100),总有效率为90.00%(90/100);较对照组的51.00%(51/100),74.00%(74/100),明显更高;差异均具有统计学意义(均P0.05)。结论:HO治疗CSD所致AM病患疗效显著,值得临床推广。

Clinical Effect Observation of Hysteroscopic Operationin the Treatment of Patients with Abnormal Menstruation Causedby Cesarean Scar Defect

Objective： To study clinical effect observation of hysteroscopic operation in the treatment of patients with abnormal menstruation caused by cesarean scar defect. Methods： 200 cases of AM caused by CSD in our hospital from July 2009 to July 2013 were selected and randomly divided into two groups. The observation group was treated by HO while the control group received conservative therapy. The duration of menstruation, menstrual bleeding amount, and the efficacy of the two groups were compared. Results： The observation group＇s menstrual duration was [（6.65 ± 1.18） d], menstrual bleeding volume was [（63.24 ± 10.49） ml], which were lower than the control group of [（8.63 ± 1.08） d, （81.62 ±11.52） ml]. The observation group＇s effectual rate was [72% （72/100）], total efficiency rate was [90% （90/100）], which were higher than the control group of [51% （51/100）, 74% （74/100）]. The differences were statistically significant （P〈0.05）. Conclusion： HO presents effective in patients with AM caused by CSD, it is worthy of wide clinical application.