A comparison of the effects of two different treatment methods on cesarean section scar diverticulum: the surgical repair of cesarean scars via combined laparoscopy and hysteroscopy vs. cyclic estrogen/progesterone therapy

作者：Wu, Xin; Lin, Ru; Yuan, Ying; He, Yifeng; Xu, Congjian; Hu, Weiguo; Xue, Xiaohong; Wang, Qing; Sun, Li^*; Xu, Huan^*

来源：International Journal of Clinical and Experimental Medicine, 2017, 10(4): 7144-7150.

• Cesarean section scar diverticulum
• combined laparoscopy and hysteroscopy therapy
• cyclic estrogen/progesterone therapy

Objective: In Obstetrics and Gynecology Hospital of Fudan University, the surgical approach scar excision and repair by laparoscopy combined hysteroscopy has been carried out and achieved good results. This study compared it with estrogen and progesterone cycle therapy to explore the value of it. Methods: From February 2009 to January 2012, the 145 patient has been collected and been divided into laparoscopy combined hysteroscopy group and the estrogen and progesterone cycle therapy group. The improvement of vaginal bleeding and wound healing situation etc were analyzed. Results: The rate of incision healing well in the study group accounted for 73.5%, and the patients monthly vaginal bleeding time <= 7 days accounted for 38.8%, and that for 8-14 days accounted for 51%. In control group incision defect had no significant improvement, and the rates were 8.5% and 21% respectively. The differences between two groups were significant. Conclusion: The effectiveness and thoroughness of the surgery were significantly higher than estrogen and progesterone cycle therapy, so the method should be widely applied.

• 出版日期2017
• 单位同济大学; 上海交通大学; 复旦大学