Abstract：Objective To analyze the efficacy of hysteroscopic incision diverticuloplasty combined with oral contraceptive pills in abnormal uterine bleeding due to previous cesarean scar defect(PCSD). Methods 80 patients with abnormal uterine bleeding due to PCSD were enrolled and were divided into the reference group and the observation group by complete randomization,40 patients in both groups,the reference group was given hysteroscopic incision diverticuloplasty,and the observation group was given oral contraceptive pill mafenacoum on top of the reference group,and the efficacy of the treatment was compared between the two groups after three months of treatment.The two groups were compared in terms of efficacy,clinical indicators,i.e.changes in the duration of vaginal bleeding,menstrual period and menstrual flow,and the incidence of adverse reactions. Results After the treatment,the effective rate of the observation group was 95%(38/40),which was higher than that of the reference group(80%)(32/40)(P<0.05); the duration of vaginal bleeding in the observation group was significantly shorter(5.19±1.08)d than that of the reference group(7.62±1.54)d,and the number of menstrual periods in the observation group was significantly shorter(5.84±1.35)d than that of the reference group(10.34±2.29)d,and the number of menstrual periods in the observation group was significantly shorter than that of the reference group(10.34±2.29)d,and the number of menstruation days in the observation group was significantly shorter than that of the reference group(10.34±2.29)d,the amount of menstrual flow in the observation group(46.83±8.52)mL was significantly shorter than that in the reference group(77.58±12.36)mL(P<0.05),the hospitalization time in the observation group(5.63±1.78)d was significantly shorter than that in the reference group(7.05±1.97) d,and the thickness of the residual muscular layer of the incision in the postoperative period of the observation group(2.51±0.54) mm was significantly less than that in the control group(2.78±0.59)mm(P<0.05).There was a 10%(4/40) adverse reaction rate in the observation group,which was lower than the 30%(12/40) in the reference group(P<0.05). Conclusion Hysteroscopic incision diverticuloplasty combined with oral contraceptive pills was effective in treating abnormal uterine bleeding due to PCSD,improving the duration of vaginal bleeding,menstrual period,and lowering the adverse effects.
尚玉秋, 张楠, 贺湛墀. 宫腔镜矫形术联合妈富隆在PCSD所致异常子宫出血患者中效果[J]. 哈尔滨医药, 2025, 45(5): 38-40.
Shang Yuqiu, Zhang Nan, He Zhanwei. Effectiveness of Hysteroscopic Orthopedics Combined with Maflon in Patients with Abnormal Uterine Bleeding Due to PCSD. journal1, 2025, 45(5): 38-40.
2025, Vol. 45 
