ObjectiveTo explore the clinical effect of hysteroscopy combined with vaginal operation in the treatment of cesarean scar diverticulum. MethodsA total of 92 patients with cesarean scar diverticulum were randomly divided into combination group and control group, 46 cases in each group. The control group were treated with vaginal prosthesis while the combined group were treated with hysteroscopy combined with vaginal operation. The operation time, intraoperative blood loss, length of stay, menstrual period 6 months after operation and SF-36 scores were compared between the two groups. ResultsThe operation time of the combined group was significantly shorter than that of the control group (P＜0.05). The total effective rate of the combination group was significantly higher than that of the control group (100.00% vs 84.78%) (P＜0.05). After treatment, the menstrual period of both groups were shortened significantly and quality of life scores were significantly improved (P＜0.05). The menstrual period of the combination group was significantly shorter than that of the control group and the quality of life scores were significantly higher than those of the control group (P＜0.05). ConclusionHysteroscopy combined with vaginal operation is effective in the treatment of cesarean scar diverticulum. It can significantly improve patients′ menstrual period and postoperative quality of life.

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