宫腔镜联合腹腔镜下折叠缝合术治疗剖宫产瘢痕憩室的临床效果分析  

Clinical effect of hysteroscopy combined with laparoscopic folding suture in the treatment of cesarean scar diverticulum

作　　者：刘湛秋 何玉[1] 王玲玲[1] LIU Zhan-qiu;HE Yu;WANG Ling-ling(Department of Gynaecology,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004,China)

机构地区：[1]蚌埠医学院第一附属医院妇科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2023年第12期1705-1708,共4页Journal of Bengbu Medical College

摘　　要：目的探讨宫腔镜联合腹腔镜折叠缝合术治疗剖宫产瘢痕憩室的临床效果。方法分析68例子宫憩室病人的临床资料,其中36例行宫腔镜联合腹腔镜下憩室折叠缝合术(观察组),32例行宫腔镜联合腹腔镜下憩室切除修补术(对照组),比较2组病人的术中出血量、手术时间、术后并发症及术后疗效等。结果观察组术中出血量明显低于对照组,手术时间明显短于对照组,差异均有统计学意义(P<0.05);2组术后月经时间均较术前月经时间缩短,差异均有统计学意义(P<0.05);观察组术后并发症发生率(8.33%)低于对照组(31.25%),差异有统计学意义(P<0.05);2组术后有效率分别为91.7%、87.5%,但差异无统计学意义(P>0.05)。结论2种手术方式对剖宫产瘢痕憩室的治疗均有效,但宫腔镜联合腹腔镜下憩室折叠缝合术临床效果更佳,术中出血少,手术时间短,术后并发症少,可保留子宫完整性,尤其适用于年龄较大且生育要求迫切的病人。Objective To investigate the clinical effect of hysteroscopy combined with laparoscopic folding suture in the treatment of cesarean scar diverticulum.Methods The clinical of 68 patients with uterine diverticulum were analyzed.Among them,36 cases underwent hysteroscopy combined with laparoscopic folding suture were set as observation group,and 32 cases undergoing hysteroscopy combined with laparoscopic incision suture were set as control group.The intraoperative blood loss,operation time,postoperative complications,and postoperative efficacy of patients in the two groups were compared.Results The intraoperative blood loss in the observation group was significantly lower than that in the control group,and the operation time was significantly shorter than that in the control group,and the differences were statistically significant(P<0.05).The postoperative menstrual days in the two groups were shorter than those before surgery,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 8.33%,which was lower than that of 31.25%in the control group,and the difference was statistically significant(P<0.05).The postoperative effective rates of the two groups were 91.7%and 87.5%,respectively,but the difference was not statistically significant(P>0.05).Conclusions The two surgery methods are effective for the treatment of cesarean scar diverticulum,and hysteroscopy combined with laparoscopic folding suture has better clinical efficacy with less intraoperative bleeding,shorter operation time,fewer postoperative complications,and preserving the integrity of the uterine muscle layer,which is especially suitable for older patients with urgent fertility requirements.

关 键 词：剖宫产瘢痕憩室 宫腔镜 腹腔镜 折叠缝合术 

分 类 号：R713.4[医药卫生—妇产科学]