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目的探讨宫腹腔镜联合手术与阴式手术治疗剖宫产术后子宫切口憩室的效果。方法选取剖宫产术后子宫切口憩室患者62例,依据手术方案分为两组,每组31例。行宫腹腔镜联合手术医治的31例患者设为研究组,行阴式手术医治的31例患者设为对照组,比较两组临床指标及经期、憩室深度及并发症状况。结果研究组术后阴道出血(7.19±2.01)ml、肛门排气时间(3.10±0.52)h少于对照组,经期(5.98±1.61)d与憩室深度(3.12±0.49)mm小于对照组,并发症发生率3.22%(1/31)低于对照组25.80%(8/31),差异有统计学意义(P<0.05)。结论宫腹腔镜联合手术治疗子宫切口憩室患者行宫腹腔镜联合手术医治可改善经期与憩室深度,减少术后阴道出血,缩短肛门排气的时间,降低并发症发生率并缩短术后阴道出血与肛门排气的时间。
Objective To investigate the effect of hysteroscopy combined with vaginal surgery in treating uterine incision diverticulum after cesarean section. Methods Sixty-two patients with uterine incision diverticulum after cesarean section were selected and divided into two groups (31 in each group) according to the surgical plan. Thirty-one patients who underwent hysteroscope combined with laparoscopic surgery were enrolled in the study group. The 31 patients undergoing vaginal surgery were selected as the control group. The clinical indexes, menstrual period, diverticulum depth and complications were compared between the two groups. Results The postoperative vaginal bleeding (7.19 ± 2.01) ml, anal exhaust time (3.10 ± 0.52) h was less than that of the control group, the menstrual period (5.98 ± 1.61) d and the depth of diverticulum (3.12 ± 0.49) mm less than the control group The incidence of disease was 3.22% (1/31) lower than that of the control group (25.80%, 8/31), the difference was statistically significant (P <0.05). Conclusions Hysteroscope combined with laparoscopic surgery for hysteroscopic diverticulum can improve menstrual and diverticulum depth, reduce postoperative vaginal bleeding, shorten the time of anal exhaust, reduce the incidence of complications and shorten the postoperative vaginal bleeding and anus Exhaust time.