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目的对比分析宫腔镜电凝术与阴式手术治疗子宫切口瘢痕憩室的临床效果。方法选取2012~2014年在珠海市妇幼保健院30例子宫切口瘢痕憩室患者的临床资料,14例患者采用腹腔镜下行宫腔镜电凝术纳入电凝组,16例患者采用腹腔镜联合阴式手术纳入阴式组,比较两组患者手术时间、术中出血量、住院时间,术后2月、6月经期恢复情况。结果电凝组手术时间(31.50±7.03)min、术中出血量(4.25±1.39)m L,均少于阴式组[(75.38±10.88)min,(16.25±7.44)m L](P﹤0.05)。术后6月经期恢复正常率阴式组[93.8%(15/16)]高于电凝组[64.3%(9/14)](P﹤0.05)。结论宫腔镜电凝治疗子宫切口瘢痕憩室,具有手术时间短、术中创伤出血少,为近期有生育要求者的首选治疗方法,而阴式手术远期效果更佳。
Objective To compare the clinical effects of hysteroscopic electrocoagulation with vaginal surgery in the treatment of scar incision diverticulum. Methods The clinical data of 30 patients with cicatricial scar diverticulum in Zhuhai Maternal and Child Health Hospital from 2012 to 2014 were selected, 14 patients underwent laparoscopic hysteroscopic electrocoagulation into the electrocoagulation group, 16 patients were treated with laparoscopy combined with vaginal Surgery into the vaginal group, the operation time, intraoperative blood loss, hospital stay, postoperative 2 months, 6 months after the recovery of the situation. Results The operative time (31.50 ± 7.03) min and the intraoperative blood loss (4.25 ± 1.39) m L in the coagulation group were significantly lower than those in the vaginal group [(75.38 ± 10.88) min, (16.25 ± 7.44) m L], respectively 0.05). The rate of return to normal at 6 months after operation was significantly higher in the vaginal group (93.8%, 15/16) than in the electrocoagulation group (64.3%, 9/14) (P <0.05). Conclusion Hysteroscopic electrocoagulation for the treatment of uterine incision scar diverticulum has the advantages of short operative time and less traumatic hemorrhage during operation. It is the first choice of treatment for those with reproductive requirements recently. However, the long-term effect of vaginal surgery is better.