宫腔镜联合阴式手术治疗子宫瘢痕憩室的临床疗效研究

Research of clinical effect by hysteroscope combined with transvaginal operation in the treatment of uterine scar diverticulum

目的探讨宫腔镜联合阴式手术治疗子宫瘢痕憩室的实际效果。方法 75例子宫瘢痕憩室患者,随机分成A、B、C三组,每组25例。A组应用经阴道手术治疗,B组应用宫腹腔镜联合手术治疗,C组应用宫腔镜联合阴式手术治疗,比较各组的治疗效果。结果三组术中出血量、住院时间比较,差异无统计学意义(P>0.05),B、C组手术时间显著短于A组,但费用显著高于A组,差异有统计学意义(P<0.05);C组经期恢复效果及憩室恢复效果显著优于A、B组(P<0.05)。结论宫腔镜联合阴式手术治疗子宫瘢痕憩室,效果满意,值得推广应用。

Objective To investigate the practical effect of hysteroscope combined with transvaginal operation in the treatment of uterine scar diverticulum. Methods A total of 75 uterine scar diverticulum patients were randomly divided into groups A, B and C, with 25 cases in each group. The group A received transvaginal operation for treatment, and the group B received hysteroscope combined with laparoscope for operation, and the group C received hysteroseope combined with transvaglnal operation for treatment. Curative effects of each group were summarized. Results There were no statistically significant differences of intraoperative bleeding volume and hospital stay across in the three groups （P〉0.05）. Groups B and C had much shorter operation time but higher cost than group A, and their difference had statistical significance （P〈0.05）. Group C had much better improvement effects in menstruation and diverticulum than groups A and B （P〈0.05）. Conclusion Hysteroscope combined with transvaginal operation provides satisfactory effect in treating uterine scar diverticulum, and this method is worthy of promotion and application.