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目的:对经过阴道手术治疗剖宫产子宫瘢痕憩室的安全性以及经济性进行探讨。方法:选择江门市五邑中医院2013年2月至2016年2月收治的经过阴道手术治疗剖宫产子宫瘢痕憩室患者92例,其中经阴道手术(阴式组)60例,腹腔镜联合手术(腔镜组)32例,并对两组患者治疗的的有效率、术后6个月内的复发率以及治疗费用情况进行记录。结果:两组患者的术中出血量、术后出血时间、手术时间、治疗费用和住院时间进行比较,差异具有统计学意义(P<0.01);对两组肛门排气时间进行对比,差异无统计学意义(P>0.05);两组患者于随访期内均无并发症及复发情况的发生。结论:本研究采用的剖宫产瘢痕憩室经阴道手术具有简单、有效、经济的优点,具有较高的安全性。
Objective: To investigate the safety and economy of cesarean scar scar diverticulum after vaginal surgery. Methods: 92 cases of cesarean scar scar diverticulum were treated by vaginal surgery from February 2013 to February 2016 in Wuyi Traditional Chinese Medicine Hospital of Jiangmen City. Among them, 60 cases were treated by vaginal surgery (vaginal group), laparoscopic combined surgery (Endoscopic group) 32 cases, and the effective rate of treatment of two groups of patients, the recurrence rate within 6 months after surgery and treatment costs were recorded. Results: The blood loss, postoperative bleeding time, operation time, treatment cost and hospital stay in two groups were statistically significant (P <0.01). The anal exhaust time was compared between the two groups, with no difference Statistical significance (P> 0.05). There was no complication and recurrence in both groups during the follow-up period. Conclusion: The cesarean scar scar diverticulum vaginal surgery used in this study has the advantages of simple, effective and economical, with high safety.