妇科微创手术治疗子宫切口瘢痕憩室的有效性分析  

Effectiveness of Gynecological Minimally Invasive Surgery in Treating Scar Diverticulum from Uterine Incision

作　　者：王小燕 WANG Xiaoyan(Department of Gynecology,Laohekou First Hospital,Xiangyang,Hubei Province,441800 China)

机构地区：[1]湖北省老河口市第一医院妇科,湖北襄阳441800

出　　处：《中外医疗》2021年第22期50-52,共3页China & Foreign Medical Treatment

摘　　要：目的观察子宫切口瘢痕憩室采用妇科微创手术治疗的有效性。方法随机选取2018年8月—2019年10月该院收治的子宫切口瘢痕憩室患者50例作为研究对象,回顾病例,以不同的手术治疗方案作为分组依据,将50例患者分为对照组和观察组,各25例。对照组用阴式憩室修补术治疗,观察组用宫腹腔镜手术联合治疗,对比两组手术观察指标、临床疗效。结果观察组手术时间(102.1±22.5)min长于对照组(60.65±19.2)min,而术中出血量(76.8±14.5)mL少于对照组(88.1±20.1)mL,术后肛门排气(2.2±1.0)d及住院时间(6.3±2.0)d短于对照组(3.2±1.3)d、(8.3±2.4)d,差异有统计学意义(t=7.007、2.280、3.049、3.201,P<0.05);观察组临床疗效96%高于对照组68%,差异有统计学意义(χ^(2)=4.878,P<0.05)。结论在子宫切口瘢痕憩室治疗中,宫腹腔镜手术联合治疗,既能缩短术后恢复时间,又能提高临床疗效,值得临床借鉴。Objective To observe the effectiveness of minimally invasive gynecological surgery for uterine incision scar diverticulum.Methods From August 2018 to October 2019,50 patients with uterine incision scar diverticulum admitted to the hospital were randomly selected as the research objects.The cases were reviewed,and different surgical treatments were used as the basis for grouping.50 patients were divided into control group and observation group,25 cases in each group.The control group was treated with vaginal diverticulum repair,and the observation group was treated with hysteroscopic laparoscopic surgery.The observation indexes and clinical efficacy of the operation of the two groups were compared.Results The operation time of the observation group was(102.1±22.5)min longer than that of the control group(60.65±19.2)min,and the intraoperative blood loss(76.8±14.5)mL was less than that of the control group(88.1±20.1)mL;the postoperative anal exhaust(2.2±1.0)d and hospitalization time(6.3±2.0)d were shorter than those in the control group(3.2±1.3)d and(8.3±2.4)d,the difference was statistically significant(t=7.007,2.280,3.049,3.201,P<0.05):96%of the clinical efficacy of the observation group was higher than 68%of the control group,the difference was statistically significant(χ^(2)=4.878,P<0.05).Conclusion In the treatment of uterine incision scar diverticulum,combined treatment with hysteroscopy and laparoscopic surgery can not only shorten the postoperative recovery time,but also improve the clinical efficacy,which is worthy of clinical reference.

关 键 词：子宫切口瘢痕憩室 宫腹腔镜联合手术 临床疗效 

分 类 号：R713[医药卫生—妇产科学]