Comparison on curative effect of hysteroscopy and vaginal repair in patients with abnormal uterine bleeding induced by PCSD
[Objective]To compare the curative effect of hysteroscopy and vaginal repair on patients with abnormal uterine bleeding induced by previous cesarean scar defect(PCSD).[Methods]A total of 66 patients with PCSD induced abnormal uterine bleeding treated in Anhe Hospital were enrolled between June 2020 and June 2021,including 35 cases in hysteroscopy group and 31 cases in vaginal repair group.The clinical curative effect,perioperative indexes,menstrual duration and cycle in the two groups were compared.The occurrence of complications in both groups within 3 months after surgery was recorded.All patients were followed up for 18 months to record pregnancy and full-term live births.[Results]The total response rates in the two groups were similar(94.29％vs.90.32％,P＞0.05).The intraoperative blood loss was less in hysteroscopy group than vaginal repair group,operation time and hospitalization time were significantly shorter in hysteroscopy group(P＜0.05).The recovery time of gastrointestinal function in the two groups was similar(P＞0.05).At 1 month and 6 months after surgery,menstrual duration was shortened in both groups(P＜0.05).At 1 month after surgery,menstrual duration in the two groups was similar(P＞0.05).At 6 months after surgery,menstrual duration was shorter in vaginal repair group than hysteroscopy group(P＜0.05).Before surgery and at 1 month and 6 months after surgery,menstrual cycle in the two groups was similar(P＞0.05).After 18 months of follow-up,pregnancy rates in the two groups were similar(51.43％vs.67.74％,P＞0.05).The full-term live birth rate was higher in vaginal repair group than hysteroscopy group(90.32％vs.65.71％,P＜0.05).The incidence of postoperative complications in the two groups was similar(5.71％vs.9.68％,P＞0.05).[Conclusion]Both hysteroscopy and vaginal repair have good curative effect on abnormal uterine bleeding induced by PCSD.Hysteroscopy is conducive to early recovery of patients,while vaginal repair has better long-term curative effect.In clinical application,they should be selected according to the own situations and willingness of patients.
万方数据
维普
