阴式手术治疗子宫切口瘢痕憩室临床疗效研究

Clinical Effect of Vaginal Surgery on Scar Diverticulum of Uterine Incision

目的探讨阴式手术在子宫切口瘢痕憩室治疗中的临床疗效。方法选取2017年1月至2018年12月泰兴市中医院收治的80例子宫切口瘢痕憩室患者作为研究对象,按照随机数字表法分为对照组和观察组,各40例。对照组行宫腔镜辅助下瘢痕憩室切除修补术,观察组行经阴道子宫瘢痕憩室切除修补术,记录两组手术时间、术中出血量及月经恢复情况等,评价两组疗效及复发情况。结果观察组治疗有效率为97.50%,显著高于对照组的82.50%,差异有统计学意义(P<0.05);观察组复发率为0.00%,显著低于对照组的10.00%,差异有统计学意义(P<0.05);对照组与观察组手术时间、术中出血量、肛门排气时间差异无统计学意义(P>0.05);观察组术后阴道出血时间长于对照组,住院时间、憩室愈合时间、经期时间显著低于对照组,差异有统计学意义(P<0.05)。结论在子宫切口瘢痕憩室治疗中采用阴式手术可进一步提高治疗效果,且创伤小、术中出血量少,住院时间短,术后恢复良好,经期基本恢复正常,而且复发率低。

Objective To explore the clinical efficacy of vaginal surgery in the treatment of scar diverticulum of uterine incision.Methods A total of 80 patients with uterine incision scar diverticulum admitted to Taixing Hospital of Traditional Chinese Medicine from January 2017 to December 2018 were selected as the research objects,and were divided into control group and observation group according to the random number table method,with 40 patients in each group.The control group underwent hysteroscopic cicatrical diverticulum resection and repair,and the observation group underwent transvaginal hysteroscopic cicatrical diverticulum resection and repair.The operative time,intraoperative blood loss and menstrual recovery of the two groups were recorded,and the efficacy and recurrence of the two groups were evaluated.Results Comparison of treatment efficiency,observation group 97.50%was significantly higher than control group 82.50%,The difference was statistically significant(P<0.05);recurrence rate comparison,observation group 0.00%was significantly lower than control group 10.00%,The difference was statistically significant(P<0.05);Operation time between control group and observation group,the intraoperative blood loss and anal exhaust time were not statistically significant,(P>0.05);the vaginal bleeding time of the observation group was significantly longer than that of the control group,and the hospitalization time,diverticulum healing time,and menstrual time were significantly lower than the control group,The difference was statistically significant(P<0.05).Conclusion The use of vaginal surgery in the treatment of scar diverticulum of uterine incision can further improve the treatment effect,and it has less trauma,less bleeding,short hospital stay,good postoperative recovery,normal menstrual recovery,and low recurrence rate.