经阴子宫瘢痕憩室修补术治疗子宫瘢痕憩室患者临床观察  

Clinical observation on treatment of patients with uterine scar diverticulum by transvaginal scar diverticulum repair

作　　者：孙新琴 陈玲玲 SUN Xin-qin;CHEN Ling-ling(Department of Gynaecology and Obstetrics,Runan County People's Hospital,Runan 463300,P.R.China)

机构地区：[1]汝南县人民医院妇产科,河南汝南463300

出　　处：《社区医学杂志》2020年第1期63-65,共3页Journal Of Community Medicine

摘　　要：目的子宫瘢痕憩室是剖宫产后常见的一种并发症,临床具有较高患病率,可导致女性经期紊乱、甚至不孕和影响女性身心健康。本研究探讨子宫瘢痕憩室采用经阴子宫瘢痕憩室修补术治疗的效果。方法选取汝南县人民医院2015-04-20-2017-08-15收治的子宫瘢痕憩室患者为研究对象,在患者及家属知情同意前提下,根据组间均衡的原则分为观察组和对照组,各49例。对照组采用开腹子宫下段切口修补术治疗,观察组采用经阴子宫瘢痕憩室修补术治疗,术后随访12个月,比较两组手术疗效、手术相关指标及并发症。结果观察组手术时间为(65.34±13.28)min,短于对照组的(102.65±14.01)min,t=13.529,P<0.001;观察组术中失血量为(56.84±13.84)mL,低于对照组的(105.26±15.21)mL,t=16.482,P<0.001;观察组术后住院时间为(4.52±1.67)d,低于对照组的(6.59±2.31)d,t=5.083,P<0.001;观察组手术总有效率为95.92%,高于对照组的83.67%,χ2=4.009,P=0.045;观察组并发症发生率为4.08%,低于对照组的18.37%,χ2=5.018,P=0.025。结论子宫瘢痕憩室采用经阴子宫瘢痕憩室修补术可减轻机体创伤性,提高手术疗效,降低并发症发生率。OBJECTIVE Uterine scar diverticulum is a common complication after cesarean section.It has a high clinical prevalence,which can lead to female menstrual disorders even infertility,affecting physical and mental health of women.This study aims to investigate the curative effects of transvaginal uterine scar diverticulum repair.METHODS The patients with uterine scar diverticulum who admitted in Runan people's Hospital from April 20,2015to August 15,2017 were selected as research objects.All selected cases were divided into research group and control group with the informed consent of patients and family,according to the interclass equilibration,with 49cases in ach group.Control group underwent open lower uterine incision repair,and research group was treated with transvaginal uterine scar diverticulum repair.After 12months of postoperative follow-up,the surgical efficacy,surgical indexes and complications were compared between two groups.RESULTS The operation time of research group was(65.34±13.28)min,shorter than that of control group(102.65±14.01)min,t=13.529,P<0.001.The intraoperative bleeding volume of research group was(56.84±13.84)ml,lower than that of control group(105.26±15.21)ml,t=16.482,P<0.001.The postoperative hospital stays in research group was(4.52±1.67)d,shorter than that in control group(6.59±2.31)d,t=5.083,P<0.001.The total surgical effective rate of research group was 95.92%,higher than that of control group 83.67%,χ2=4.009,P=0.045.The incidence of complications in research group was 4.08%,lower than that in control group 18.37%,χ2=5.018,P=0.025.CONCLUSION Transvaginal uterine scar diverticulum repair for patients with uterine scar diverticulum can reduce trauma,increase surgical efficacy,and decrease the incidence of complications.

关 键 词：子宫瘢痕憩室 剖宫产 经阴子宫瘢痕憩室修补术 开腹子宫下段切口修补术 

分 类 号：R713.4[医药卫生—妇产科学]