宫腹腔镜联合手术切除修补子宫瘢痕憩室

发布时间：2018-01-14 09:07

本文关键词：宫腹腔镜联合手术切除修补子宫瘢痕憩室　出处：《广东医学》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨宫腹腔镜联合手术切除修补子宫瘢痕憩室的临床效果。方法将行子宫下段剖宫产术后产妇诊断为瘢痕子宫切口憩室的60例患者随机分为对照组和观察组,每组30例,对照组患者采用传统阴式手术进行治疗,观察组采用宫腹腔镜联合手术,观察两组患者手术用时、术中出血量、肛门排气时间、住院时间、诊疗费用等手术相关情况,并进行统计学分析。随访两组患者8~12个月后月经异常症状的改善情况。结果观察组患者手术时间、术中出血量、诊疗所用费用均高于对照组,而平均住院时间、术后可以下床活动时间显著短于对照组,差异有统计学意义(P0.05)。观察组、对照组患者术后总有效率分别为96.7%、76.7%,两组比较差异有统计学意义(P0.05)。观察组再孕率20.0%(6/30),对照组患者再孕率16.7%(5/30),差异无统计学意义(X~2=0.082,P0.05)。结论宫腹腔镜联合手术对于瘢痕子宫切口憩室患者的疗效十分显著,精准手术部位,能够显著改善患者病症,主要表现在缩短住院时间和患者下床活动快恢复快方面。临床上值得推广。
[Abstract]:Objective to investigate the clinical effect of uterine scar diverticulum repaired by hysteroscopy combined with laparoscopy. Methods 60 patients who were diagnosed as cicatricial incision diverticulum after cesarean section were randomly divided into control group and observation group. Group. 30 cases in each group, the control group was treated by traditional vaginal operation, and the observation group was treated by hysteroscopy combined with laparoscopy. The blood loss, anal exhaust time and hospitalization time were observed in both groups. The patients in the two groups were followed up for 8 to 12 months after the improvement of abnormal menstrual symptoms. Results the patients in the observation group operation time, intraoperative bleeding volume. The cost of the clinic was higher than that of the control group, and the average hospitalization time was significantly shorter than that in the control group, and the difference was statistically significant (P 0.05). The total effective rate of the patients in the control group was 96.7 and 76.70.The difference between the two groups was statistically significant (P 0.05). The re pregnancy rate of the observation group was 20.0 / 30). In the control group, the repregnancy rate was 16.7 / 30%, and there was no significant difference between the two groups (P < 0. 082). Conclusion combined hysteroscopy and laparoscopy is very effective for the patients with scar incision diverticulum. The precise site of surgery can significantly improve the disease of the patients. The main manifestation is shortening hospitalization time and quick recovery of patients out of bed, which is worth popularizing clinically.
【作者单位】：汕尾市人民医院妇产科;
【基金】：汕尾市科技计划项目(编号:2014C0022)
【分类号】：R713.4
【正文快照】： 近些年来,随着临床剖宫产率的持续增加,作为剖宫产术后常见并发症之一的子宫切口憩室也呈现不断上升的趋势[1]。存在子宫切口憩室的患者临床上常常表现为子宫不规则出血、经期延长或腰骶部酸胀疼痛,少数患者还可能发生憩室处妊娠的情况,对患者的正常生活有着重大的影响,同时可

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