腹腔镜联合宫腔镜修补术和阴式修补术治疗子宫剖宫产切口憩室对比研究.docVIP

腹腔镜联合宫腔镜修补术和阴式修补术治疗子宫剖宫产切口憩室对比研究 　　[摘要] 目的 ?Ρ妊芯扛骨痪盗?合宫腔镜修补术与阴式修补术治疗子宫剖宫产切口憩室的临床效果。方法 随机选取该院自2015年1月―2016年12月收治的子宫剖宫产切口憩室患者70例作为临床研究对象，将其分成腔镜组和阴式组各35例，对腔镜组患者采用腹腔镜联合宫腔镜修补术治疗，对阴式组患者采用阴式修补术治疗，观察比较两组患者的手术情况、憩室深度、憩室宽度及经期改善情况、预后情况。结果 手术时长相比腔镜组（75.4±15.4）min显著长于阴式组（61.2±10.6）min（P0.05）；住院时间相比腔镜组（5.4±2.2）d显著短于阴式组（8.7±1.9）d（P0.05）；手术后腔镜组分别为（4.3±1.6）mm、（11.5±3.8）mm、（7.0±3.6）d，阴式组分别为（4.5±1.9）mm、（11.8±3.4）mm、（7.2±3.2）d，较手术前均有显著改善（P0.05）。腔镜组的治疗有效率、复发率和再妊娠率分别为97.1%、2.9%、22.9%，阴式组分别为94.3%、5.7%、20.0%，差异无统计学意义（P0.05）。结论 在子宫剖宫产切口憩室的治疗中，腹腔镜联合宫腔镜修补术与阴式修补术各有优势，都是十分有效的手术方法，在实际治疗中应根据具体情况选择适合的方案。 　　[关键词] 腹腔镜联合宫腔镜修补术；阴式修补术；切口憩室 　　[中图分类号] R713.4 [文献标识码] A [文章编号] 1674-0742（2017）05（a）-0074-03 　　[Abstract] Objective To compare the clinical effect of laparoscopic hysteroscopy and vaginal repair in the treatment of uterine cesarean section incisional diverticula. Methods A total of 70 patients with uterine cesarean section incisional diverticulum were random selected from January 2015 to December 2016. The patients were divided into laparoscopic group and 35 cases of vaginal group. Laparoscopic group Hysteroscopy treatment， the vaginal group of patients with vaginal repair treatment， compared the two groups of patients with the operation， diverticulum depth， diverticulum width and menstrual improvement， prognosis. Results The duration of the operation was significantly longer than that of the lumen group （75.4±15.4）min， which was significantly longer than the shade group （61.2±10.6）min （P 0.05） compared with the h and the negative group（3.6±2.5）h. The hospitalization time was significantly shorter than the lumen group（5.4±2.2）d and（8.7±1.9）d （P0.05）； Cavity mirror after surgery group respectively（4.3±1.6）mm、（11.5±3.8）mm、（7.0±3.6）d， Yin type group， respectively（4.5±1.9）mm、（11.8±3.4）mm、（7.2±3.2）d， compared with before operation were improved significantly （P0.05）. Cavity mirror group treatment effectiveness， the recurrence rate and pregnancy rate of 97.1%， 2.9% and 22.9% respectively， Yin group