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目的:探讨剖宫产术后子宫切口憩室(PCSD)经阴道修补术的临床应用价值。方法:回顾分析2014年1月至2015年8月在武汉大学人民医院行经阴道修补术的23例PCSD患者的临床资料。结果:23例患者均顺利完成手术,无术中或术后并发症发生,平均手术时间为(64±10)min,平均术中出血量为(45±16)ml,平均术后住院时间为(4.7±1.2)天。23例患者均进入术后随访,其中21例月经明显改善,术后平均经期为(6.9±2.0)天,较术前平均缩短(7.9±3.4)天,差异有统计学意义(P<0.01);月经改善总有效率为91.3%(21/23),子宫切口憩室恢复的总有效率为95.7%(22/23)。结论:PCSD经阴道修补术是一种疗效确切,微创、简单、可行的手术。
Objective: To investigate the clinical value of transvaginal repair of uterine incision diverticulum (PCSD) after cesarean section. Methods: The clinical data of 23 patients with PCSD underwent vaginal repair from January 2014 to August 2015 in Wuhan People’s Hospital were retrospectively analyzed. Results: All the 23 patients completed the operation without any intraoperative or postoperative complication. The average operation time was (64 ± 10) min and the mean intraoperative blood loss was (45 ± 16) ml. The average postoperative hospital stay was (4.7 ± 1.2) days. Twenty-three patients were followed up, and 21 of them achieved significant improvement of menstruation. The average postoperative period was (6.9 ± 2.0) days, which was shorter than the preoperative average of 7.9 ± 3.4 days (P <0.01) The total effective rate of menstruation improvement was 91.3% (21/23). The total effective rate of uterine incision diverticulum recovery was 95.7% (22/23). Conclusion: PCSD transvaginal repair is an effective, minimally invasive, simple and feasible operation.