目的比较宫腹腔镜联合修补术、阴式修补术和宫腔镜修补术对剖宫产术后子宫切口憩室(PCSD)的治疗效果。方法选取医院收治的PCSD患者90例作为研究对象,随机分为A、B、C组,每组30例。A组采用宫腹腔镜联合修补术、B组采用阴式修补术、C组采用宫腔镜修补术,观察3组术中及术后指标,比较3组治疗前后憩室深度、宽度和经期改善情况,比较3组治疗后妊娠率。结果 A组手术时间、术中出血量高于B、C组,B组高于C组;B组术后阴道出血时间高于A、C组;B组术后住院时间长于A、C组,A组长于C组;A组治疗费用较B、C组高,上述差异均有统计学意义(P<0.01)。治疗前3组憩室深度、宽度及经期持续时间差异无统计学意义,治疗后3组憩室深度、宽度及经期持续时间均有所改善,改善情况A组优于B组及C组,差异有统计学意义(P<0.01)。结论宫腹腔镜联合修补术、阴式修补术和宫腔镜修补术对PCSD患者均具有一定的效果,3种手术方案各有利弊,临床应根据患者的实际情况及个人意向选择最佳治疗方案。 Objective To compare the effects of laparoscopic hysterectomy, vaginal repair and hysteroscopic repair on postoperative cesarean section incision diverticulitis (PCSD). Methods 90 hospitalized patients with PCSD were selected as study subjects and randomly divided into A, B and C groups, 30 cases in each group. A group of laparoscopic hysteroscopy combined repair, B group using vaginal repair, C group using hysteroscopic repair, observation of three groups of intraoperative and postoperative indicators, the treatment group before and after treatment of diverticulum depth, width and improvement of menstruation , Comparing the pregnancy rate of three groups after treatment. Results The operation time and intraoperative blood loss in group A were higher than those in group B and C, while those in group B were higher than those in group C. The postoperative vaginal bleeding time in group B was higher than that in group A and C. The postoperative hospital stay in group B was longer than that in group A and C, Group A was longer than Group C; Group A had higher cost of treatment than Group B and C, all of which were statistically significant (P <0.01). There was no significant difference in the depth, width and duration of the diverticular space between the three groups before treatment, and the depth, width and duration of the diverticulum in the three groups after treatment were improved. The improvement was better in group A than in group B and group C Significance (P <0.01). Conclusions Hysteroscope combined with laparoscopy, vaginal repair and hysteroscopic repair have some effect on patients with PCSD. There are advantages and disadvantages in each of the three kinds of operation plans, and the best treatment plan should be selected according to the actual situation and personal intention of the patients .