妇科微创手术在剖宫产子宫切口瘢痕憩室治疗中的效果

Effects of Minimally Invasive Gynecological Surgery in the Treatment of Cesarean Scar Diverticulum

目的:研究妇科微创手术在剖宫产子宫切口瘢痕憩室治疗中的效果。方法:纳入2018年9月-2019年8月笔者所在医院收治的94例剖宫产子宫切口瘢痕憩室患者展开研究,按照随机数字表法分为两组,对照组47例进行阴式憩室修补术治疗,观察组47例采用宫腹腔镜手术联合治疗。对比两组围术期相关指标、临床效果、并发症情况。结果:观察组术中出血量少于对照组,手术时间长于对照组,肛门排气时间、住院时间均短于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05);两组总有效率比较,差异无统计学意义(P>0.05)。结论:阴式憩室修补术、宫腹腔镜手术治疗剖宫产子宫切口瘢痕憩室的效果相当,但宫腹腔镜手术更有助于患者术后恢复。

Objective:To study the effects of minimally invasive gynecological surgery in the treatment of previous cesarean scar diverticulum.Method:A total of 94 cases of previous cesarean scar diverticulum admitted to our hospital from September 2018 to August 2019 were included in the study.According to the random number table,they were divided into two groups.And 47 cases in the control group were treated with repair of vaginal diverticulum,and 47 cases in the observation group were treated with hysteroscopy combined with laparoscopy surgery.The perioperative indexes,clinical effects and complications of the two groups were compared.Result:The amount of intraoperative bleeding in the observation group was less than that of the control group,and the operation time was longer than that of the control group,and the anal exhaust time and hospitalization time were shorter than those of the control group,and the incidence of complications was lower than that of the control group,and the differences were statistically significant(P<0.05).The total effective rate of the two groups was compared,and the difference was not statistically significant(P>0.05).Conclusion:The curative effect of repair of vaginal diverticulum and hysteroscopy combined with laparoscopy surgery on previous cesarean scar diverticulum is similar,but hysteroscopy combined with laparoscopy surgery is more helpful to the recovery of patients.