宫腹腔镜联合诊治剖宫产切口憩室23例临床分析

Clinical Diagnosis and Treatment by Cesarean Section Analysis of 23 Cases of Diverticular Laparoscopy

目的探讨宫腹腔镜联合诊治剖宫产切口憩室的疗效。方法选自2013年11月—2014年10月在该院治疗剖宫产术后子宫切口憩室的46例患者,将其随机分两组,采取宫腹腔镜联合手术治疗的患者作为观察组,采取阴式手术治疗的患者作为对照组,每组各23例。观察其临床病症和生命体征、术中出血量、经期恢复情况、憩室修复情况,记录手术治疗时间、肛门排气时间、住院时间,统计治疗费用。结果观察组剖宫产切口憩室的患者术中出血量、手术治疗时间、治疗费用高于对照组,观察组的住院时间少于对照组(P<0.01);两组剖宫产切口憩室的患者对比肛门排气时间,差异无统计学意义(P>0.05)。结论根据实施剖宫产术后子宫切口憩室治疗患者的具体情况,采取宫腔镜联合腹腔镜的治疗方法,能够有效节省患者的住院时间,并且保证患者治疗的效果,在临床上有非常积极的重大影响力。

Objective Diverticulum diagnosed and cesarean section was observed efficacy laparoscopy. Methods Selected from November 2013 to October 2014, in the 46 patients treated in our hospital cesarean incision diverticulum, randomly divided into two groups, 23 cases in each group, laparoscopy surgery combined with the observation group, overcast surgical treatment of patients in the control group. Observed blood loss, recovery period, the repair of diverticulitis, surgery time record, flatus time, hospi-tal stay, statistical treatment costs. Results Observation group cesarean section bleeding diverticulum of patients, surgery time, hospital stay higher than the cost of treatment, the observation group than the control group（P〈0.01）; compare two groups of patients cesarean section diverticulum flatus time, the difference was not significant（P〉0.05）. Conclusion Hysteroscopy and laparoscopy take treatment, which can effectively save time in hospital to ensure treatment effect on clinical very significant positive influence.