宫颈提拉缝合术在修复子宫疤痕憩室的应用疗效及对患者预后的影响  

Therapeutic Effect of Cervical Lifting Suture in Repairing Uterine Scar Diverticulum and its Influence on Prognosis

作　　者：曾凤蓉[1] Zeng Fengrong(Department of Obstetrics,Shenzhen Bao’an Maternal and Child Health Hospital,Shenzhen,Guangdong,518100,China)

机构地区：[1]深圳市宝安区妇幼保健院产科,广东深圳518100

出　　处：《黑龙江医学》2024年第8期941-944,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨宫颈提拉缝合术在子宫疤痕憩室修复中的应用疗效及其对患者预后的影响。方法:选取2021年1月—2022年12月深圳市宝安区妇幼保健院收治的108例子宫疤痕憩室再妊娠患者,将其分为对照组和观察组,每组各54例。两组患者均在剖宫产术中同时行子宫疤痕憩室修复,对照组患者采用传统常规缝合,观察组患者采用宫颈提拉缝合术。比较两组患者围术期指标,手术前、后3 d血清炎症水平,术后并发症发生率,术后月经恢复情况,临床疗效及复发率。结果:观察组患者术中及术后出血量均少于对照组,差异有统计学意义(t=12.479、10.401,P<0.05)。术后3 d两组患者的血清IL-2、IL-6、TNF-α水平均低于手术前,且观察组低于对照组,差异有统计学意义(t=6.527、8.877、8.673,P<0.05)。观察组患者术后并发症发生率低于对照组,差异有统计学意义(χ^(2)=3.967,P<0.05)。观察组患者术后月经来潮时间、月经量、持续时间均优于对照组,差异有统计学意义(t=2.883、2.737、2.644,P<0.05)。观察组患者治疗有效率高于对照组,差异有统计学意义(χ^(2)=4.285,P<0.05)。随访6个月,观察组患者复发率低于对照组,差异有统计学意义(χ^(2)=3.967,P<0.05)。结论:宫颈提拉缝合术在剖宫产术中修复子宫疤痕憩室的应用可以减少围术期出血量及术后并发症,改善术后月经情况,提升临床疗效,降低复发率。Objective:To investigate the therapeutic effect of cervical lifting suture in the repair of uterine scar diverticulum and its influence on the prognosis of patients.Methods:108 cases of re-pregnancy patients with uterine scar diverticulum admitted to the hospital from January 2021 to December 2022 were randomly divided into control group and observation group,with 54 cases in each group.Uterine scar diverticulum repair was performed in both groups during caesarean section.Conventional suture was used in the control group and cervical pull-up suture was used in the observation group.Perioperative indexes,serum inflammation levels at 3 d before and after surgery,postoperative complication rate,postoperative menstrual recovery,clinical efficacy and recurrence rate were compared between the two groups.Results:The intraoperative and postoperative blood loss in observation group was less than that in control group(t=12.479,10.401;P<0.05).The serum levels of IL-2,IL-6 and TNF-αin 2 groups were lower than before operation 3 days after surgery,and the observation group was lower than the control group(t=6.529,8.877,8.673;P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(χ^(2)=3.967,P<0.05).The duration,volume and duration of menstruation in the observation group were better than those in the control group(t=2.883,2.737,2.644;P<0.05).The effective rate of observation group was higher than control group(χ^(2)=4.285,P<0.05).After 6 months of follow-up,the recurrence rate of observation group was lower than control group(χ^(2)=3.967,P<0.05).Conclusion:The application of cervical lifting suture in repairing uterine scar diverticulum during caesarean section can reduce perioperative blood loss and postoperative complications,improve postoperative menstruation,promote clinical efficacy,and reduce recurrence rate.

关 键 词：宫颈提拉缝合术 子宫疤痕憩室 治疗效果 预后情况 

分 类 号：R713.4[医药卫生—妇产科学]