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目的比较宫腹腔镜联合手术与阴式手术治疗剖宫产术后子宫切口憩室的疗效及安全性。方法选择2008年2月至2012年5月郑州大学第一附属医院收治的58例剖宫产术后子宫切口憩室患者,其中宫腹腔镜联合手术(腔镜组)38例,经阴道手术(阴式组)20例,比较两组患者的手术及随访情况。结果两组患者的术中出血量、手术时间、住院时间和治疗费比较,差异均有统计学意义(P<0.05);两组患者的肛门排气时间、有效率和再孕率比较,差异均无统计学意义(P>0.05);两组患者随访期内均无复发及并发症发生。结论宫腹腔镜联合手术与阴式手术均能有效改善剖宫产术后子宫切口憩室患者的症状,但各有优势,需根据具体情况选择术式,以达到最佳的治疗效果。
Objective To compare the efficacy and safety of laparoscopic hysteroscopic surgery combined with vaginal surgery in the treatment of uterine incision diverticulum after cesarean section. Methods From February 2008 to May 2012, 58 cases of uterine incision diverticulum after cesarean section were treated in the First Affiliated Hospital of Zhengzhou University. Among them, 38 cases were treated by laparoscopy combined with laparoscopy (vaginal group) Type group) 20 cases, the two groups were compared in the operation and follow-up. Results The blood loss, operation time, hospitalization time and treatment cost of the two groups were significantly different (P <0.05). The anal exhaust time, effective rate and pregnancy rate were significantly different between the two groups No statistical significance (P> 0.05). No recurrence and complications occurred in both groups during the follow-up period. Conclusion Both laparoscopic hysteroscopy and vaginal surgery can effectively improve the symptoms of uterine incision and diverticulum after cesarean section, but each has its own advantages. It is necessary to select the surgical procedure according to the specific conditions in order to achieve the best therapeutic effect.