摘要
目的对比剖宫产子宫瘢痕憩室(PCSD)采用两种微创手术治疗的临床效果。方法80例PCSD患者,根据治疗方法不同将其分为研究组与对照组,各40例。对照组采用阴式手术治疗,研究组采用宫腹腔镜联合修补手术治疗。对比两组围术期相关指标、并发症发生情况。结果研究组手术时间(112.63±42.26)min长于对照组的(61.35±32.37)min,术中出血量(24.26±3.12)ml少于对照组的(35.32±4.22)ml,肛门排气时间(3.12±0.05)d短于对照组的(5.31±1.12)d,差异均有统计学意义(P<0.05)。研究组并发症发生率为7.50%,低于对照组的27.50%,差异有统计学意义(P<0.05)。结论和阴式手术相比,采用宫腹腔镜联合修补手术治疗PCSD,效果满意,能够减少患者出血量,缩短肛门排气时间,减少并发症,值得推广。
Objective To compare the clinical effect of post-cesarean section scar diverticulum(PCSD)treated with two minimally invasive procedures.Methods A total of 80 PCSD patients were divided into research group and control group according to different treatment methods,each with 40 cases.The control group was treated with vaginal surgery,and the research group was treated with hysteroscopy and laparoscopy surgery.The perioperative related indicators and the occurrence of complications were compared between the two groups.Results The operation time(112.63±42.26)min of the research group was longer than(61.35±32.37)min of the control group,the intraoperative blood loss(24.26±3.12)ml was less than(35.32±4.22)ml of the control group,and the anal exhaust time(3.12±0.05)d was shorter than(5.31±1.12)d of the control group.All the differences were statistically significant(P<0.05).The complication rate in the research group was 7.50%,which was lower than 27.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with vaginal surgery,hysteroscopy and laparoscopy surgery has satisfactory effect on the treatment of PCSD,which can reduce the blood loss,shorten anal exhaust time and reduce the complications.It is worthy of promotion.
作者
徐鑫
XU Xin(Department of Gynecology,Anshan Women’s and Children’s Hospital,Anshan 114000,China)
出处
《中国现代药物应用》
2021年第21期47-49,共3页
Chinese Journal of Modern Drug Application
关键词
剖宫产子宫瘢痕憩室
阴式手术
宫腹腔镜联合修补手术
治疗效果
Post-cesarean section scar diverticulum
Vaginal surgery
Hysteroscopy and laparoscopy surgery
Therapeutic effect
