Analysis on clinical diagnosis and treatment of 120 cases with cesarean uterine scar defects / 中国基层医药

Objective To analyze the clinical treatment and prevention methods of uterine scar defects after cesarean section.Methods Retrospectively analyzed the clinical data of 120 patients with scar defect after cesarean section,it was mainly applied in the hysteroscopic uterine scar electrocoagulation resection,after anterior fornix inci-sion scar repair and hysteroscopy determine scar position underwent laparoscopic uterine scar repair such as surgery. The surgical treatment effect and the quality of life scores before and after the surgery were observed.Results The patients after surgery, six months after surgery expert hysteroscopy could be observed in patients with uterine scar defects compared with preoperation significantly shrink or disappear.Gradually returned to normal menstruation,pelvic pain effectively alleviated,effective treatment of 90 cases,the effective rate was 75.00%.Pre-operative quality of life score was (32.54 ±5.63)points,quality of life scores after surgery was (48.65 ±7.85)points,the difference was statistically significant (t=5.632,P<0.05).Conclusion The cesarean section scar defect is a common complica-tion of cesarean,surgery is effective treatment.We need to strictly abide by cesarean section surgery when practices and scientific selection of cesarean section and uterine incision to improve skills, which can effectively reduce the cesarean scar defect rate.

Clinical analysis of scar pregnancy after uterine cesarean sevtion / 中国基层医药

Objective To study the clinical diagnosis and therapy of scar pregnancy after uterine cesarean section.Methods Clinical data of 21 patients with uterine cesarean section in our hospital from June 2006 to December 2008 were retrospectively analyzed.Results The success rate of 16 cases by drug therapy (including three cases of surgical treatment) was 81.3%;3 cases of auto-discharge transferred to other hospitals to do intervention,1 case used expectant treatment,1 case used complete curettage of uterine cavity under B-Ultrasound.Conclusion Drug treatment can terminated scar pregnancy after uterine cesarean section effectively,but there is a potential risk of massive hemorrhage or uterine rupture;color doppler ultrasound,especially Transvaginal color doppler ultrasound was the primary means of cesarean section,and benefit to judge prognostic factors and observed treatment.