摘要
目的对比分析阴式和宫腔镜电切治疗重度剖宫产子宫切口憩室的临床效果及手术并发症。方法选取2014年6月~2016年6月我院收治的重度子宫切口憩室住院患者39例,术前均有月经淋漓不尽、经期延长病史,均经阴道彩超明确诊断为重度剖宫产子宫切口憩室。并诊刮排除子宫内膜及宫颈病变,排除凝血功能障碍等内科疾病。39例患者随机分成经宫腔镜组(A组)和阴式手术组(B组),分别行宫腔镜电切和阴式子宫切口憩室切除手术,从手术时间、平均住院日、住院费用、手术并发症、术后复发等指标进行两组间比较。结果 A组平均手术时间、平均住院时间、住院费用优于B组,差异有统计学意义(P<0.05);手术并发症两组比较差异无统计学意义(P>0.05);B组术后复发率明显低于A组,差异有统计学意义(P<0.05)。结论两组手术方式均适用于治疗重度子宫切口憩室,均未出现手术并发症,两组无差异,但阴式手术比宫腔镜电切术复发率低,效果更显著。
Objective To compare the clinical effect and surgical complications of transvaginal and hysteroscopic resec- tion in the treatment of severe uterine incisional diverticula after Cesarean section. Methods 39 patients with severe u- terine incisional diverticulum who were admitted to our hospital from June 2014 to June 2016 were investigated. The patients had the history of preoperative endless menstrual dripping, and prolonged menstrual period. All the patients were given vaginal color ultrasound for the diagnosis of severe Cesarean section uterine incisional diverticulum.Diag- nostic uterine curettage was given to exclude endometrial and cervical lesions, excluding coagulation disorders and other medical diseases. 39 patients were randomly divided into hysteroscopy group （group A） and vaginal surgery group （group B）. The patients were given hysteroscopic resection and vaginal incision diverticulum resection surgery respec- tively. The surgery time, average hospital stay, hospital costs, surgical complications, postoperative recurrence and other indicators were compared between the two groups. Results The average surgery time, average length of stay and hospi- talization cost in group A were better than those in group B, and the differences were statistically significant（P〈O.05）; there was no statistically significant difference in the surgical complications between the two groups（P〉0.05）; the postoperative recurrence rate in group B was significantly lower than that in group A, and the difference was statisti- cally significant（P〈0.05）. Conclusion The two groups of surgical methods are suitable for the treatment of severe uterine incisional diverticulum, with no surgical complications. There are no difference between the two groups. But the recur- rence rate of vaginal surgery is lower than that of hysteroscopic resection, and the effect is more significant.
出处
《中国现代医生》
2017年第22期60-62,66,共4页
China Modern Doctor
关键词
子宫切口憩室
宫腔镜修补
阴式修补
剖宫产
治疗效果
Uterine incisional diverticula
Hysteroscopic repair
Vaginal repair
Cesarean section
Therapeutic effect
作者简介
通讯作者
