经阴道瘢痕憩室修补术治疗子宫瘢痕憩室效果分析

Analysis of the effect of transvaginal scar diverticulum repair in the treatment of uterine scar diverticulum

目的分析经阴道瘢痕憩室修补术治疗子宫瘢痕憩室的效果,建立支持经阴道手术治疗子宫瘢痕憩室的循证医学证据。方法选取2021年3月—2022年3月中国人民解放军总医院第七医学中心收治的32例剖宫产瘢痕憩室患者为研究对象,随机均分为观察组与对照组,分别接受经阴道瘢痕憩室修补术以及腹腔镜瘢痕憩室修补术治疗,记录患者术前、术中、术后相关临床数据和患者住院时间、术中出血量,比较两组治疗效果。结果观察组治疗总有效率(93.75%)与对照组(87.50%)比较,差异无统计学意义(P>0.05);观察组术中出血量[(50.46±4.65)ml]与对照组[(54.59±3.48)ml]比较,差异无统计学意义(P>0.05),观察组手术时间[(102.59±5.19)min]少于对照组[(130.78±4.53)min],差异有统计学意义(P<0.05),观察组住院费用[(9620.65±48.65)元]低于对照组[(14124.56±50.48)元],差异有统计学意义(P<0.05);两组世卫组织生存质量测定量表(WHOQOL)评分、住院时间相比较,差异均无统计学意义(均P>0.05)。两组术中并发症发生率比较,差异无统计学意义(P>0.05);两组术后复发率比较,差异无统计学意义(P>0.05)。结论针对子宫瘢痕憩室采用经阴道手术治疗,花费以及复发率低,远期疗效好,是一种应用价值较高的治疗方式。

Objective To analyze the effect of transvaginal repair of cicatricial diverticulum in the treatment of uterine cicatricial diverticulum,and to establish evidence-based medical evidence supporting transvaginal surgery in the treatment of uterine cicatricial diverticulum.Methods A total of 32 patients with cicatricial diverticulum during cesarean section admitted to the Seventh Medical Center of the Chinese People's Liberation Army General Hospital from March 2021 to March 2022 were selected as the study objects,and were randomly divided into the observation group and the control group,which received transvaginal cicatricial diverticulum repair and laparoscopic cicatricial diverticulum repair,respectively.Preoperative,intraoperative and postoperative clinical data,hospital stay and intraoperative blood loss were recorded,and the therapeutic effects of the two groups were compared.Results There was no significant difference in total effective rate between the observation group(93.75%)and the control group(87.50%)(P>0.05).There was no significant difference in intraoperative blood loss between the observation group[(50.46±4.65)ml]and the control group[(54.59±3.48)ml](P>0.05).The operation time of the observation group[(102.59±5.19)min]was less than that of the control group[(130.78±4.53)min],and the difference was statistically significant(P<0.05).The hospitalization cost in the observation group[(9620.65±48.65)yuan]was lower than that in the control group[(14124.56±50.48)yuan],and the difference was statistically significant(P<0.05).There were no significant differences in WHOQOL scores and length of stay between the two groups(all P>0.05).There was no significant difference in the incidence of intraoperative complications between the two groups(P>0.05).There was no significant difference in postoperative recurrence rate between the two groups(P>0.05).Conclusion Transvaginal surgery for uterine cicatricial diverticulum is a valuable treatment with low cost,low recurrence rate and good long-term effect.