瘢痕憩室宫腹腔镜联合手术后憩室再形成的影响因素分析  

Analysis of influencing factors of diverticulum reformation after laparoscopic combined operation in the treatment ofcicatricial diverticulum

作　　者：黄惠君 黄若冰 蔡志英 Huang Huijun;Huang Ruobing;Cai Zhiying(Department of Gynecology,Yangchun Maternal and Child Health Hospital,Yangchun 529600,China)

机构地区：[1]阳春市妇幼保健院妇科,广东阳春529600

出　　处：《实用妇科内分泌电子杂志》2023年第28期1-4,共4页Electronic Journal of Practical Gynecological Endocrinology

基　　金：2021年度阳江市医疗卫生类科技计划项目(编号SF2021206)。

摘　　要：目的探究瘢痕憩室宫腹腔镜联合手术后憩室再形成的影响因素。方法选取80例瘢痕憩室行宫腹腔镜联合手术治疗患者,根据憩室有无再形成分为憩室再形成组(憩室再形成)与无憩室组(无憩室再形成),每组40例。对比两组临床指标,并进行Logistic回归分析。结果憩室再形成组与无憩室组术前阴道流血时间、手术距离上次剖宫产时间、术后血红蛋白值比较,差异有统计学意义(P<0.05),两组手术时间、术前憩室纵向长度、术后抗生素使用时间、术后血象异常、感染并发症比较,差异无统计学意义(P>0.05)。Logistic回归分析显示:术前阴道流血时间>10 d、手术距离上次剖宫产时间>5年、术后血红蛋白值<110 g/L是剖宫产子宫切口瘢痕憩室术后憩室再形成的独立危险因素(P<0.05)。结论对于瘢痕憩室宫腹腔镜联合手术后憩室再形成高风险患者应加强术后管理,以减少憩室再形成。Objective To explore the factors that affect the formation of recurrent diverticula after combined hysteroscopic and laparoscopic surgery for cicatricial diverticula.Methods 80 patients with cicatricial diverticulum undergoing laparoscopic combined operation were divided into diverticulum re-formation group(diverticulum re-formation)and no diverticulum group(no diverticulum re-formation)according to the presence or absence of diverticulum,with 40 cases in each group.The two groups of clinical indicators were compared,parallel Logistic regression analysis.Results There were statistically significant differences in preoperative vaginal bleeding time,operation time since last cesarean section,and postoperative hemoglobin value between the diverticulum reformation group and the no diverticulum group(P<0.05).There were no statistically significant differences in operation time,preoperative longitudinal length of diverticulum,postoperative antibiotic use time,postoperative blood abnormalities,and infection complications between the two groups(P>0.05).Logistic regression analysis showed that the preoperative vaginal bleeding time>10 d,the operation time>5 years from the last cesarean section,and the postoperative hemoglobin value<110 g/L were independent risk factors for the formation of diverticulum after cesarean section incision scar diverticulum(P<o.05).Conclusion For patients with high risk of diverticulum reformation after combined laparoscopic surgery,postoperative management should be strengthened to reduce the occurrence of diverticulum reformation.

关 键 词：瘢痕憩室 憩室再形成 影响因素 

分 类 号：R713.4[医药卫生—妇产科学]