宫腹腔镜联合修补术治疗剖宫产术后子宫切口憩室11例临床观察  

Clinical observation of hysteroscopy-lapar-oscopy combined with surgery on uterine incision diverticulum after caesarean section

作　　者：高梅[1] 

机构地区：[1]商丘市第一人民医院妇产科,河南476100

出　　处：《中国临床新医学》2016年第6期521-523,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨宫腹腔镜联合修补术治疗剖宫产术后子宫切口憩室的方法及临床效果。方法回顾性分析2012-03-2015-02该院经宫腹腔镜联合修补术治疗的11例剖宫产术后子宫切口憩室患者临床资料。结果 11例患者手术顺利,无术中、术后并发症发生。手术时间（102.4±17.6）min,术中出血量（82.3±19.2）ml,切除组织病理诊断为子宫瘢痕组织,可见子宫内膜组织,术后住院6-7 d。11例患者月经复潮后症状明显缓解,经期（7.2±1.7）d,显效9例,有效2例,总有效率为100.0%。术后3个月复查三维阴超显示子宫腔恢复良好,未见憩室,随访6个月-1年均未见症状复发。结论宫腹腔镜联合修补术治疗剖宫产术后子宫切口憩室可显著改善患者临床症状,且手术出血量少、并发症少,术后恢复快,可作为该病首选治疗方法。Objective To explore the method and clinical effect of hysteroscopy-lapar-oscopy combined with surgery on uterine incision diverticulum after caesarean section. Methods The clinical data of 11 patients with uterine incision diverticulum after caesarean section,who were treated in our hospital with hysteroscopy-lapar-oscopy combined with surgery from March 2012 to February 2015 were retrospectively analyzed. Results All the operations were performed successfully on the patients,and no complications occurred during or after the operation. The time of operation was( 102. 4 ± 17. 6) min. The amount of bleeding was( 82. 3 ± 19. 2) ml during the operation,and the hospital stay was for 6 to 7 days after the operation. The symptoms of 11 patients remitted obviously after the first menses and the period was( 7. 2 ± 1. 7) days,with a excellent result in 9 cases,effective in 2 cases,and the total effective rate was 100%. No relapse occurred after a follow up of 6 months to 1 year. Conclusion Hysteroscopy-laparoscopy combined with neoplasty is effective in the treatment of uterine incision diverticulum after caesarean section. It can improve the patients' clinical symptoms and cause less bleeding and complications.

关 键 词：剖宫产术后子宫切口憩室 宫腹腔镜联合修补术 效果 

分 类 号：R714[医药卫生—妇产科学]