宫腔镜联合阴式手术治疗子宫瘢痕憩室的临床研究

发布时间：2018-08-04 21:39

【摘要】：目的探讨宫腔镜联合阴式手术治疗子宫瘢痕憩室的临床疗效。方法子宫瘢痕憩室患者92例,随机分为联合组和对照组,各46例。对照组给予阴式修复术治疗,联合组给予宫腔镜联合阴式手术治疗。比较两组手术时间、术中出血量、住院时间及术后6个月经期、生活质量量表SF-36评分。结果联合组手术时间明显短于对照组,两组比较,差异有统计学意义(P0.05)。联合组总有效率为100.00%,明显高于对照组的84.78%,两组比较,差异有统计学意义(P0.05)。治疗后,两组患者经期均显著缩短,生活质量评分均显著升高,与治疗前比较,差异有统计学意义(P0.05);联合组经期明显短于对照组,生活质量评分均明显高于对照组,两组比较,差异有统计学意义(P0.05)。结论宫腔镜联合阴式手术治疗子宫瘢痕憩室疗效确切,能显著改善患者经期,提升术后生活质量。
[Abstract]:Objective to investigate the clinical effect of hysteroscopy combined with vaginal operation in the treatment of uterine scar diverticulum. Methods 92 cases of uterine scar diverticulum were randomly divided into combined group and control group, 46 cases each. The control group was treated with vaginal repair and the combined group was treated with hysteroscopy combined with vaginal operation. The operation time, intraoperative bleeding volume, hospitalization time and 6 months postoperation menstrual period were compared between the two groups. The SF-36 score of QOL was compared between the two groups. Results the operative time of the combined group was significantly shorter than that of the control group, and the difference between the two groups was statistically significant (P0.05). The total effective rate of the combined group was 100.00g, which was significantly higher than that of the control group (84.78). The difference between the two groups was statistically significant (P0.05). After treatment, the menstrual period of the two groups were significantly shortened, the quality of life scores were significantly increased, compared with before treatment, the difference was statistically significant (P0.05); the menstrual period of the combined group was significantly shorter than that of the control group, and the quality of life score of the combined group was significantly higher than that of the control group. The difference was statistically significant (P0.05). Conclusion hysteroscopy combined with vaginal surgery is effective in the treatment of uterine scar diverticulum, which can significantly improve the menstrual period and improve the quality of life after operation.
【作者单位】： 广东省东莞市妇幼保健院;
【分类号】：R713.4

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