Clinical outcome of Traditional Chinese Medicine syndrome differentiation combined with hysteroscopy in uterine incision defect after cesarean section

doi:10.19852/j.cnki.jtcm.2025.04.019

Abstract

Abstract:

OBJECTIVE: To evaluate the clinical outcome of Traditional Chinese Medicine (TCM) syndrome differentiation combined with hysteroscopic treatment for uterine incision defect after cesarean section [previous cesarean scar defect (PCSD)] after cesarean section.

METHODS: This is a single-center retrospective study. A total of 120 PCSD patients were enrolled from February 2022 to February 2023 and divided into two groups according to different treatment methods, the TCM group (n = 60) and the control group (n = 60). The control group was treated with hysteroscopy, and the TCM group combined TCM syndrome differentiation with hysteroscopy. Clinical outcome included menstrual scores, menstrual days, TCM symptom scores and intrauterine pregnancy recurrence rate was analyzed in two groups.

RESULTS: The total response rate of the TCM group was significantly higher than that of the control group (P < 0.05); after treatment, the menstrual scores, menstrual days and TCM symptoms of the two groups were decreased, and the menstrual scores, menstrual days and TCM symptoms of the TCM group were all lower than that of the control group (P < 0.05); the recurrence rate of the TCM group was significantly lower than that of the control group (P < 0.05). Follow-up results showed higher healing of incisional scar diverticulum in the TCM group than in the control group (P < 0.05). The duration of menstruation before and after treatment, and the TCM group was better than the control group (P < 0.05).

CONCLUSION: TCM syndrome differentiation combined with hysteroscopy presented favorable outcome on the prolonged menstrual period of PCSD, which could significantly improve the recovery of menstruation, relief the symptoms of TCM, reduce the recurrence rate and accelerate wound healing.

Key words: cesarean section, uterine diverticulum, syndrome differentiation, curative effect

ZHANG Guimei, FAN Yinhuan, LI Xiaojuan, ZHANG Yingzhen, ZHANG Yanwen. Clinical outcome of Traditional Chinese Medicine syndrome differentiation combined with hysteroscopy in uterine incision defect after cesarean section[J]. Journal of Traditional Chinese Medicine, 2025, 45(4): 891-895.

Figures/Tables 2

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Group	n	Cured (n)	Excellence (n)	Effective (n)	Ineffective (n)	Total effective rate (%)
TCM	60	39	11	8	2	96.67^a
Control	60	33	11	9	7	88.33

Group	n	Cured (n)	Excellence (n)	Effective (n)	Ineffective (n)	Total effective rate (%)
TCM	60	39	11	8	2	96.67^a
Control	60	33	11	9	7	88.33

Group	Time	n	Menstrual scores	Menstrual days (days)	TCM syndrome scores
TCM	Prior treatment	60	111.3±17.9	14.9±1.4	23.3±2.4
TCM	Post-treatment	60	73.6±16.1^a	9.4±1.4^a	9.7±1.5^a
Control	Prior treatment	60	110.9±18.7	15.3±1.3	23.2±1.7
Control	Post-treatment	60	84.4±17.2	12.1±1.1	11.1±3.0

Group	Time	n	Menstrual scores	Menstrual days (days)	TCM syndrome scores
TCM	Prior treatment	60	111.3±17.9	14.9±1.4	23.3±2.4
TCM	Post-treatment	60	73.6±16.1^a	9.4±1.4^a	9.7±1.5^a
Control	Prior treatment	60	110.9±18.7	15.3±1.3	23.2±1.7
Control	Post-treatment	60	84.4±17.2	12.1±1.1	11.1±3.0

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