两种微创手术在子宫切口憩室及不孕症治疗中的疗效探讨  

Discussion the curative effect of two kinds of minimal invasive surgery in the uterine scar diverticulum and infertility

作　　者：黄霁[1] 王卫星[1] 董继英[1] 

机构地区：[1]江西省九江市妇幼保健院妇产科,江西九江332000

出　　处：《中国现代医生》2015年第32期64-66,69,共4页China Modern Doctor

摘　　要：目的探讨治疗子宫切口憩室的最佳微创手术方式及在治疗不孕症中的疗效分析。方法选取2012年1月-2014年6月在我院因子宫切口憩室接受微创手术治疗的100例患者,分成研究组和对照组,研究组52例患者采用腹腔镜辅助下经阴道子宫瘢痕憩室修补术,对照组48例患者采用宫腹腔镜联合手术。比较两组的平均手术时间、平均手术出血量及住院时间、术后随访治愈率、复发率及受孕率。结果腹腔镜辅助下经阴道子宫瘢痕憩室修补术平均手术时间少于宫腹腔镜组,差异有统计学意义（P〈0.05）;两组平均手术出血量、住院时间、术后治愈率、复发率及受孕率比较,差异无统计学意义（P〉0.05）。结论两种微创手术均是治疗子宫切口憩室的有效方法,尤其在对有生育要求的不孕症患者治疗中疗效显著。Objective To explore the best way of minimally invasive surgery in treatment of uterine scar diverticulum and to analyze the curative effect in treatment of infertility.Methods From January 2012 to June 2014,100 patients who had uterine scar diverticulum in our hospital were treated by the minimally invasive surgery and were divided into study group and control group.The study group was 52 patients cured by laparoscopic assisted transvaginal uterine scar repair of diverticulum;there were 48 patients in the control group cured by combined laparoscopic and hysteroscopic surgery.The average operation lime,blood loss and hospital stays of the two groups and followed up the cure rate,recurrence rate and pregnancy rate were compared.Results The study group had shorter average operation time,the difference was statistically significant（P〈0.05）.There was no difference of the average blood loss,hospital stay,cure rate,recurrence rate and pregnancy rate between two groups（P〉0.05）.Conclusion Two kinds of minimal invasive surgery are both effective methods in treatment of uterine scar diverticulum,especially in treatment of infertility.

关 键 词：宫腹腔镜联合手术 经阴道手术 剖宫产 子宫切口憩室 

分 类 号：R713.4[医药卫生—妇产科学]