手术治疗剖宫产术后子宫切口憩室疗效观察

Clinical effect observation of vaginal surgery in the treatment of cesarean scar diverticulum

目的研究对于剖宫产后患者出现子宫切口憩室,对其采用阴式手术治疗的效果。方法将2015年2月~2016年2月收治的46例剖宫产后出现子宫切口憩室的患者,按着入院先后顺序将其划分为一般组23例与干预组23例,一般组患者采阴式用宫腔镜手术治疗,干预组实施阴式手术治疗,对比两种手术疗效及手术用时、术中出血量、住院时间等。结果一般组患者术后出血量、手术用时、住院时间等均多于干预组,P<0.05。一般组患者术后显效为69.57%,干预组为91.30%,干预组较高,P<0.05。结论剖宫产术后子宫切口憩室的患者采用阴式手术治疗,患者疗效较好,且相较于宫腔镜手术,患者手术用时及术中出血量、住院天数等均较少。

Objective To observe the clinical effect of vaginal surgery in the treatment of cesarean scar diverticulum. Methods 46 patients with cesarean scar diverticulum treated from February 2015 to February 2016 in our hospital were selected. The subjects were divided into two groups according to the admission time of hospital, 23 cases each group. The general group adopted the hysteroscopic surgery; the intervention group adopted the vaginal surgery. The clinical effect, operation time, intra- operative bleeding volume and hospitalization time for two groups was compared. Results The intra - operative bleeding volume, operation time and hospitalization time for intervention group was better than that of general group （P 〈0. 05） ; the good rate for general group （69. 57% ） was significantly lower than that of intervention group （91.30%） （P 〈 0. 05）. Conclusions Compared with the hysteroscopic surgery, the vaginal surgery has an obvi- ous effect in patients with cesarean scar diverticulum, shortens the operation time and hospitalization time, and reduces the bleeding volume during the surgery.