Efficacy of Qiji Zhuyu Zhixue decoction in treating previous cesarean scar defect
10.3969/j.issn.1673-9701.2024.25.017
- VernacularTitle:芪及逐瘀止血汤治疗剖宫产切口憩室的疗效
- Author:
Qinxiao WANG
1
;
Jinli PAN
;
Mingzi HU
;
Liyi YOU
;
Xi LIN
;
Yan JIAO
Author Information
1. 温州市人民医院妇产超声科,浙江温州 325000
- Keywords:
Previous cesarean scar defect;
Three-dimensional power Doppler ultrasound;
Qiji Zhuyu Zhixue decoction;
Desogestrel and ethinylestradiol tablet;
Diagnostic efficiency
- From:
China Modern Doctor
2024;62(25):81-84
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of Qiji Zhuyu Zhixue decoction in treatment of previous cesarean scar defect(PCSD)and explore the value of transvaginal two-dimensional ultrasound combined with three-dimensional power Doppler ultrasound(3D-PDUS)in the diagnosis of PCSD.Methods A total of 120 PCSD patients treated and treated in Wenzhou People's Hospital from April to October 2023 were selected as study objects,and they were randomly divided into case group(50 cases)and control group(70 cases).The case group was treated with Qiji Zhuyu Zhixue decoction,and the control group was treated with desogestrel and ethinylestradiol tablets.The clinical effects after 6 months of treatment were compared between two groups.The length,width,depth,lateral muscle thickness and volume of PCSD before and after treatment were evaluated by two-dimensional ultrasound combined with 3D-PDUS.The receiver operating characteristic curve was used to evaluate the efficacy of ultrasonic parameters in diagnosis of PCSD.Results After 6 months of treatment,the total effective rate of case group was significantly higher than that of control group(x2=21.97,P＜0.01).After treatment,the diverticulum depth and volume in case group were significantly lower than before treatment(P＜0.05).The diverticulum depth in case group was significantly lower than that in control group(P＜0.05).The lateral muscle thickness in case group was significantly greater than that before treatment and control group(P＜0.05).The area under the curve of the combined diagnosis of PCSD with diverticular depth,diverticular lateral muscle thickness and diverticular volume was 0.707.Conclusion The clinical effect of Qiji Zhuyu Zhixue decoction on PCSD is remarkable.Transvaginal two-dimensional ultrasound combined with 3D-PDUS is the first choice for the diagnosis of PCSD,and it is worth popularizing and applying.
