不同程度子宫瘢痕憩室的宫腹腔镜术的治疗效果分析  

Analysis of the therapeutic effect of uterine laparoscopy for diverticula with different degrees of uterine scar

作　　者：戴仕芬[1] 侯涛[1] Dai Shi-fen;Hou Tao(The people's hospital of Meizhou,Department of gynecology,Guangdong Meizhou 514031,China)

机构地区：[1]梅州市人民医院妇一科

出　　处：《实用妇科内分泌电子杂志》2019年第13期57-59,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨不同手术方式对治疗不同程度子宫瘢痕憩室的手术治疗效果。方法对我院2014年7月~2018年7月收治的子宫瘢痕憩室患者50例,其中轻中度组25例,中重度组25例,轻中度组在宫腔镜下行修补术(宫腔镜组),中重度组行腹腔镜修补术(腹腔镜组),观察各组患者远期加重和复发的情况、再次妊娠以及临床疗效。结果宫腔镜组治愈(<7天)7例,占28%,有效(7~10天)5例,占20%,腹腔镜组治愈(<7天)13例,占52%,无效(>10天)4例;两组术后瘢痕剩余肌层厚度均有所增加,其中宫腔镜组增厚为(5.41±0.33)mm,腹腔镜组增厚为(5.8±0.41)mm,两组患者经期均有缩短,其中宫腔镜组经期缩短≤10天者占48%;腹腔镜组占84%。两组术后累积妊娠率分别为20%和16%。结论对于不同程度子宫瘢痕憩室,宫腔镜和腹腔镜下修补术各有优缺点,应根据患者的病变特点综合考虑。Objective To investigate the effect of different surgical methods on the treatment of diverticulum with different degrees of uterine scar.Methods From July 2014 to July 2014 were 50 patients with uterine scar diverticulum,25 patients with mild-to-moderate group,the relation between group of 25 cases,mild-to-moderate group in the repair under hysteroscopy(hysteroscopy group),the relation between group of laparoscopic repair group(laparoscopic)surgery,observation group,long-term increase and recurrence in patients with pregnancy again,and the clinical curative effect.Results:hysteroscopy group was cured(<7 days)in 7 cases,accounting for 28%,effective(7-10 days)in 5 cases,accounting for 20%,laparoscopy group was cured(<7 days)in 13 cases,accounting for 52%,ineffective(>10 days)in 4 cases.In both groups,the remaining scar thickness was increased,among which the hysteroscopy group was(5.41+0.33)mm,and the laparoscopy group was(5.8+0.41)mm.The menstrual period of the patients in both groups was shortened,and48%of the patients in the hysteroscopy group had shorter menstrual period than or equal to 10 days.Laparoscopic group accounted for 84%.The cumulative pregnancy rate was 20%and 16%,respectively.Conclusion For diverticulum with different degrees of uterine scar,hysteroscopy and laparoscopic repair have advantages and disadvantages,and should be considered comprehensively according to the pathological characteristics of patients.

关 键 词：子宫瘢痕憩室 宫腔镜 腹腔镜 

分 类 号：R713.4[医药卫生—妇产科学]