Mô tả một số đặc điểm lâm sàng, cận lâm sàng người bệnh khuyết sẹo tử cung sau mổ lấy thai được điều trị bằng phương pháp phẫu thuật nội soi tại Bệnh viện Phụ sản Thiện An

Abstract

Objective: Describe the clinical and subclinical characteristics of patients with cesarean section scars treated by laparoscopic surgery at Thien An Hospital of Obstetrics and Gynecology.
Methods: Cross-sectional descriptive study, interviewing 73 patients with defects in cesarean section scars who were referred for laparoscopic surgery at the Department of Obstetrics and Gynecology at Thien An Hospital of Obstetrics and Gynecology. Research and analysis of the general characteristics of the subject, surgical characteristics, history and clinical and subclinical characteristics.
Results: The results of the study on 73 patients showed that NB before surgery had the clinical characteristics of moderate pain in the chronic pelvic area, accounting for the highest rate of 93.2%. Patients with dysentery account for 98.6%. Pain during intercourse, moderate pain accounted for the highest rate of 93.2%, and low pain accounted for a low rate of 1.4%. Bleeding during moderate intercourse accounts for the highest rate of 97.3%, while little and abundant account for 1.4%. Bleeding during moderate intercourse accounts for the highest rate of 97.3%, little and abundant account for 1.4%. There were 82.2% abnormal uterine bleeding, 13.7% moderate bleeding. The infertility rate accounts for 45.2%. Paraclinical test indexes all increased related to the patient's disease condition. After surgery, biochemical and hematological test results showed that 100% of the indicators returned to normal.
Conclusion: Clinical abnormal vaginal bleeding, pelvic pain or pain during intercourse, menorrhagia, and infertility provide accurate results for cesarean scar defect. Before surgery, paraclinical test indicators increased slightly; After surgery, the indexes were normal.