摘要
目的:研究宫腹腔镜联合修补术治疗剖宫产术后子宫切口憩室的临床效果。方法:将剖宫产术后子宫切口憩室患者62例纳入研究对象,按治疗方法分为两组,即采用阴式修补术的患者为对照组,采用宫腹腔镜联合修补术的患者为观察组,每组各31例。对两组患者的手术出血量、手术时间、住院时间及子宫切口憩室修复有效率、术后月经改善等进行比较。结果:观察组的手术时间为(70.53±17.62)min,长于对照组的(41.74±13.53)min,但手术出血量、住院时间优于对照组,两组月经改善率比较差异有统计学意义(P<0.05);观察组患者疾病有效修复率为96.77%(30/31),对照组为70.96%(22/31),P<0.05;观察组患者中29例术后月经得到明显改善(93.55%),优于对照组的21例(67.74%),P<0.05。结论:宫腹腔镜联合修补术治疗剖宫产术后子宫切口憩室安全性高,可有效修复子宫切口憩室,减少术中出血量,改善经期异常,具有术后恢复快等优势。
Objective:To study the clinical effect of laparoscopy combined with repair in the treatment of uterine incision diverticulum after cesarean section.Methods:62 patients with uterine incision diverticulum after cesarean section were included in the study.According to the treatment method,they were divided into two groups,namely,the patients with vaginal repair as the control group,and the patients with laparoscopic repair as the observation group,31 cases in each group.The bleeding volume,operation time,hospitalization time,the efficiency of repair of uterine incision diverticulum and the improvement of menstruation were compared between the two groups.Results:The operation time of the observation group was(70.53±17.62)min,longer than that of the control group(41.74±13.53)min,but the bleeding volume and hospitalization time of the operation group were better than that of the control group,the difference of the improvement rate of menstruation between the two groups was statistically significant(P<0.05);The effective recovery rate of disease in the observation group was 96.77%(30/31),the control group was 70.96%(22/31),(P<0.05);In the observation group,the menstruation of 29 patients improved significantly(93.55%),which was better than that of 21 patients(67.74%)in the control group(P<0.05).Conclusion:Laparoscopy combined with repair is a safe and effective method for the treatment of uterine incision diverticulum after cesarean section.It can effectively repair the uterine incision diverticulum,reduce the amount of bleeding during operation,improve the menstrual abnormalities,and recover quickly after operation.
作者
刘佳
LIU Jia(Shenyang Maternity and Infant Hospital,Liaoning Shenyang 110000)
出处
《中国医疗器械信息》
2021年第20期38-39,共2页
China Medical Device Information
关键词
剖宫产术
子宫切口憩室
阴式修补术
宫腹腔镜联合修补术
cesarean section
uterine incision diverticulum
vaginal repair
laparoscopy combined repair
作者简介
刘佳,主治医师。
