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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P<0.05)。结论:HO治疗CSD所致AM病患疗效显著,值得临床推广。
Objective: To study the clinical effect of hysteroscope operation (HO) on patients with abnormal menstruation (AM) caused by cesarean scar defect (CSD). Methods: Two hundred patients with AM caused by CSD were selected from July 2009 to July 2013 in our hospital. The patients were randomly divided into two groups according to the digital method. The observation group (100 cases) was treated with HO and the control group (100 cases) with conservative therapy. The duration of menstruation, menstrual bleeding and curative effect were compared between the two groups. Results: The duration of menstruation in observation group was (6.65 ± 1.18) d, the menstrual bleeding amount was (63.24 ± 10.49) mL, which was significantly lower than that in control group (8.63 ± 1.08) d and (81.62 ± 11.52) ml; The effective rate was 72.00% (72/100) and the total effective rate was 90.00% (90/100). Compared with the control group, 51.00% (51/100) and 74.00% (74/100) Statistical significance (all P <0.05). Conclusion: The efficacy of HO in treating patients with AM caused by CSD is significant and worthy of clinical promotion.