宫腹腔镜联合手术治疗剖宫产术后切口憩室的疗效观察  

Analysis of the Efficacy of Hysteroscopy Combined Laparoscopy in Treating Patients With Diverticulum Cesarean Section Surgery Laparoscopy

作　　者：李晟辉[1] 汤丽荣[1] Li Shenghui;Tang Lirong(Beifing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China)

机构地区：[1]首都医科大学附属北京妇产医院妇科,100026

出　　处：《医学研究杂志》2018年第7期133-136,共4页Journal of Medical Research

摘　　要：目的探讨宫腹腔镜联合手术治疗剖宫产术后子宫切口憩室的疗效。方法回顾性分析2013年1月~2016年7月于北京妇产医院确诊剖宫产术后子宫切口憩室41例患者的临床资料,根据患者选择的手术方式进行分组,其中对照组选用宫腔镜手术共15例,观察组选用宫腹腔镜联合手术共26例,比较两组患者的疗效。结果全部患者均手术顺利,无任何手术相关并发症,术后6个月随访复查阴道彩超。26例宫腹腔镜联合手术患者中有8例憩室消失,15例较前缩小,3例无明显改变;手术总有效率达88.3%。而对照组宫腔镜手术患者13例症状缓解;手术总有效率为86.7%。结论宫腹腔镜联合手术应用于剖宫产术后子宫切口憩室患者的临床治疗效果突出,术后再次妊娠安全,可在临床中推广应用。Objective To evaluate the efficacy of uterine incision diverticulum patients after cesarean section of laparoscopy combined with hysteroscopy. Methods Retrospective analysis of clinical data of patients with cesarean incision diverticulum after cesarean section from January 2013 to July 2016 was performed. Twenty-six cases in the observation group were treating with hysteroscopy combined with laparoscopy and 15 cases in the control group were treating with hysteroscopy alone, to analyze and compare the clinical efficacy of two groups. Results All patients were operated successfully without any surgical complications. All patients were examined with transvaginal ultrasound 6 months after operation. The diverticulum in 8 cases in Laparoscopy combined with hysteroscopy group disappeared after treatment, 15 cases were reduced, while only three cases remained unchanged. The remission rate of laparoscopy combined with hysteroscopy was 88.3%. The symptoms of thirteen patients in hysteroscopic surgery alone group got improvement, and the remission rate was 86.7%. Conclusion Laparoscopy combined with hysteroscopy in treatment of cesarean scar diverticulum with satisfied effect, can consider pregnancy after the operation, it is worth promoting in clinical use.

关 键 词：剖宫产 子宫切口憩 室宫腔 镜腹腔镜 

分 类 号：R71[医药卫生—妇产科学]