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目的研究宫腔镜手术在治疗剖宫产切口瘢痕缺陷中的应用价值。方法选择2015年1~6月我院收治的剖宫产子宫切口瘢痕缺陷患者110例,按照随机数字表法将其分成研究组与对照组各55例,研究组实施宫腔镜手术治疗,对照组采用宫腹腔镜手术治疗,比较分析2组临床治疗效果。结果研究组患者术中出血量、手术时间、术后住院时间均低于对照组(P<0.05)。研究组总有效率为96.4%高于对照组的85.4%(P<0.05);研究组术后随访6个月的复发率为10.9%低于对照组复发率21.8%,差异有统计学意义(P<0.05)。结论宫腔镜手术治疗剖宫产切口瘢痕缺陷效果显著,能减少患者术中出血量,减少手术时间及住院时间,降低术后复发率,值得应用及推广。
Objective To study the value of hysteroscopic surgery in the treatment of cicatricial incision scar defect. Methods One hundred and ten patients with scar defect of cesarean section underwent cesarean section in our hospital from January to June of 2015 were divided into study group and control group according to the random number table method, and the study group was treated by hysteroscopic surgery. The control group Group laparoscopic hysteroscopic surgery, comparative analysis of two groups of clinical treatment. Results The bleeding volume, operation time and postoperative hospital stay in study group were lower than those in control group (P <0.05). The total effective rate was 96.4% in the study group and 85.4% in the control group (P <0.05). The recurrence rate in the study group at 6 months after follow-up was 10.9%, lower than that in the control group (21.8%), the difference was statistically significant P <0.05). Conclusion Hysteroscopic surgery for cesarean section incision scar defect effect is significant, can reduce the amount of intraoperative bleeding, reduce the operation time and hospital stay, reducing the recurrence rate, it is worth to apply and promote.