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目的:探讨宫腔镜联合腹腔镜引导下修补术治疗剖宫产术后子宫切口憩室的疗效。方法:83例PCSD患者分为宫腔镜联合腹腔镜引导下修补术组(A组41例)和阴式修补术组(B组42例)。观察两组患者治疗前后憩室、经期改善情况及随访预后疗效情况。结果:治疗后,两组患者憩室深度和宽度均明显减少,经期明显缩短(p<0.05)。A组有效率、复发率和再孕率明显高于B组(p<0.05)。结论:宫腔镜联合腹腔镜引导下修补术是治疗PSCD的有效手术方法,可显著改善患者症状,值得临床推广。
Objective: To explore the effect of hysteroscopy combined with laparoscopic-guided repair of uterine incision diverticulum after cesarean section. Methods: Eighty-three patients with PCSD were divided into two groups: hysteroscopy combined with laparoscopic-guided repair group (group A, 41 cases) and vaginal repair group (group B, 42 cases). The two groups of patients before and after treatment of diverticulum, menstrual improvement and follow-up prognosis of the situation. Results: After treatment, the depth and width of diverticulum in both groups were significantly reduced, and the menstrual period was significantly shortened (p <0.05). The effective rate, recurrence rate and pregnancy rate in group A were significantly higher than those in group B (p <0.05). Conclusion: Hysteroscopy combined with laparoscopic-guided repair is an effective surgical treatment of PSCD, which can significantly improve the symptoms of patients and is worthy of clinical promotion.