宫腹腔镜联合手术与阴式手术治疗剖宫产术后子宫瘢痕憩室的临床比较
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摘要
目的对比宫腹腔镜联合手术与阴式手术在治疗剖宫产术后子宫瘢痕憩室中的临床效果。方法选取2016年2月～2018年6月收治的90例剖宫产术后子宫瘢痕憩室患者,将所有患者随机分为两组,各45例。对照组行阴式手术治疗,观察组行宫腹腔镜联合手术治疗,对比两组临床疗效及手术情况。结果两组临床疗效及住院时间比较差异无统计学意义(P>0.05),观察组手术时间、排气时间长于对照组,且住院费用高于对照组,手术出血量少于对照组,差异有统计学意义(P<0.05)。结论宫腹腔镜联合手术与阴式手术治疗剖宫产术后子宫瘢痕憩室的临床疗效相当,但前者出血量少,后者具有手术时间短、费用低、患者术后恢复快等优势。
Objective To compare the clinical effects of hysteroscopy combined with laparoscopy and vaginal surgery for uterine scar diverticulum after cesarean section.Methods 90 patients with uterine scar diverticulum after cesarean section admitted to hospital from February 2016 to February 2018 were enrolled in the study.All patients were randomly divided into two groups,with 45 cases in each group.Control group underwent vaginal surgery,and observation group underwent hysteroscopy combined with laparoscopy.And then,the clinical efficacy and operation of the two groups were compared.Results There was no statistically significant difference in clinical efficacy and hospitalization time between the two groups(P>0.05).Operation time and exhaust time in the observation group were longer than those in the control group,hospitalization cost was higher than that in the control group,and the amount of bleeding was less than that in the control group,difference was statistically significant(P<0.05).Conclusion The clinical effects of hysteroscopy combined with laparoscopy and vaginal surgery for uterine scar diverticulum after cesarean section are similar,but the former has less bleeding,and the latter has the advantages of short operation time,low cost and quick recovery after operation.
Objective To compare the clinical effects of hysteroscopy combined with laparoscopy and vaginal surgery for uterine scar diverticulum after cesarean section.Methods 90 patients with uterine scar diverticulum after cesarean section admitted to hospital from February 2016 to February 2018 were enrolled in the study.All patients were randomly divided into two groups,with 45 cases in each group.Control group underwent vaginal surgery,and observation group underwent hysteroscopy combined with laparoscopy.And then,the clinical efficacy and operation of the two groups were compared.Results There was no statistically significant difference in clinical efficacy and hospitalization time between the two groups(P>0.05).Operation time and exhaust time in the observation group were longer than those in the control group,hospitalization cost was higher than that in the control group,and the amount of bleeding was less than that in the control group,difference was statistically significant(P<0.05).Conclusion The clinical effects of hysteroscopy combined with laparoscopy and vaginal surgery for uterine scar diverticulum after cesarean section are similar,but the former has less bleeding,and the latter has the advantages of short operation time,low cost and quick recovery after operation.
引文
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[9] 马志红,赵曼曼,王丹阳.经阴道病灶切除术治疗剖宫产子宫瘢痕妊娠临床病例分析[J].现代妇产科进展,2015,24(10):772-774.
[10] 杨晓红,李静文.宫腹腔镜联合手术治疗剖宫产瘢痕憩室临床分析[J].中华全科医学,2015,13(6):973-975.
[11] Masuda Hirotaka,Uchida Hiroshi,Maruyama Tetsuo,et al.Successful treatment of atypical cesarean scar defect using endoscopic surgery[J].BMC pregnancy and childbirth,2015,15:342.
[12] 徐郑军,刘永莹,张晓平,等.阴式子宫瘢痕妊娠病灶切除+子宫憩室修补术与子宫动脉栓塞术治疗剖宫产瘢痕妊娠的疗效比较[J].蚌埠医学院学报,2016,41(7):874-876.
[2] 王艺桦,马琳,阚艳敏,等.经阴道超声观察剖宫产术后瘢痕憩室的结构特点及其危险因素分析[J].中国医科大学学报,2016,45(2):158-161.
[3] 冯晓冰,陈建国.宫腔镜电切及经阴道子宫瘢痕憩室切除缝合术治疗子宫瘢痕憩室的效果比较[J].广西医科大学学报,2016,33(3):521-523.
[4] Bomfim Pereira Mário Genilhu,Pereira Gomes José Alvaro,Rizz Luiz Vicente,et al.Cytokine Dosage in Fresh and Preserved Human Amniotic Membrane[J].Cornea,2016,35(1):89-94.
[5] 雷婷婷,李玉红.宫腹腔镜联合手术阴式手术修补剖宫产术后子宫切口憩室的近期疗效比较[J].浙江临床医学,2015,17(8):1279-1281.
[6] 姚敏,陈慧慧,陶洁,等.经阴道修补剖宫产术后子宫切口憩室64例临床分析[J].中华妇产科杂志,2015,50(7):500-504.
[7] 屈静岚,王春真,唐焕新.经阴道手术联合人工周期药物治疗剖宫产子宫切口憩室的临床观察[J].中国煤炭工业医学杂志,2015,18(12):1967-1970.
[8] 张翠芹,贺丽霞.阴式手术与宫腹腔镜联合手术治疗子宫切口憩室的疗效及安全性比较[J].中国妇幼保健,2015,30(22):3902-3904.
[9] 马志红,赵曼曼,王丹阳.经阴道病灶切除术治疗剖宫产子宫瘢痕妊娠临床病例分析[J].现代妇产科进展,2015,24(10):772-774.
[10] 杨晓红,李静文.宫腹腔镜联合手术治疗剖宫产瘢痕憩室临床分析[J].中华全科医学,2015,13(6):973-975.
[11] Masuda Hirotaka,Uchida Hiroshi,Maruyama Tetsuo,et al.Successful treatment of atypical cesarean scar defect using endoscopic surgery[J].BMC pregnancy and childbirth,2015,15:342.
[12] 徐郑军,刘永莹,张晓平,等.阴式子宫瘢痕妊娠病灶切除+子宫憩室修补术与子宫动脉栓塞术治疗剖宫产瘢痕妊娠的疗效比较[J].蚌埠医学院学报,2016,41(7):874-876.