| 朱 宏,谢 蕾,刘开江,赵绚璇,刘 青.宫腹腔镜联合下子宫瘢痕憩室新术式应用的临床效果探讨[J].,2019,19(15):2873-2876 |
| 宫腹腔镜联合下子宫瘢痕憩室新术式应用的临床效果探讨 |
| Clinical Effect of a New Method Versus Hysteroscopic combined with Laparoscopic Surgery Resection on the Patients with Cesarean Scar Diverticulum |
| 投稿时间：2019-01-04 修订日期：2019-01-31 |
| DOI：10.13241/j.cnki.pmb.2019.15.015 |
| 中文关键词: 子宫瘢痕憩室 宫腔镜手术 腹腔镜手术 |
| 英文关键词: Cesarean scar diverticulum Hysteroscopy surgery Laparoscopic surgery |
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| 中文摘要: |
| 摘要 目的：探讨宫腹腔镜联合下子宫瘢痕憩室新术式应用的临床效果。方法：对2016年1月至2017年6月于我院住院的子宫瘢痕憩室患者14例进行回顾性分析和术后随访。以采用宫腹腔镜联合下子宫瘢痕憩室新术式6例为观察组，行传统的宫腹腔镜联合下子宫瘢痕憩室修补术8例为对照组。比较两组基线资料、手术情况、临床疗效。结果：两组的年龄、剖宫产史以及每个月生理期和子宫缺损位置的肌肉厚度比较差异无统计学意义(P>0.05)。观察组手术时间[(54.83±13.91)min]明显少于对照组[(96.00±18.79) min]，手术出血量[(26.67±8.76) mL]少于对照组[(76.88±19.07) mL]，住院费用[(7099.00 ± 763.80)]远少于对照组[(9562.00±2548.00) 元]，差异均有统计学意义(P均<0.05)。随访 6 个月时，观察组治疗有效率为 83.3%，高于对照组(62.5%)，但差异无统计学意义(P>0.05)。结论：宫腹腔镜联合下子宫瘢痕憩室新术式及传统的宫腹腔镜联合下子宫瘢痕憩室修补术用于子宫瘢痕憩室患者的临床疗效相当，但新术式宫腹腔镜联合下子宫憩室折叠缝合术创伤更小、费用更低。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of a new method versus hysteroscopic combined with laparoscopic surgery resection on patients with cesarean scar diverticulum (CSD). Methods: Fourteen cases with CSD treated in our hospital from January 2016 to June 2017 were selected and divided into two groups according to the operation methods. The study group underwent the new method with new surgical folding suture CSD resection, while the control group underwent hysteroscopic combined with laparoscopic CSD resection. Baseline data, perioperation parameters and clinical outcomes were recorded and compared between the two groups. Results: There was no statistical significance between the observation group and the control group in the history of cesarean section, the difference of muscle thickness between the physiological period and the location of uterine defect in each month, that is, P was greater than 0.05. The operating time [(54.83±13.91) min vs (96.00±18.79) min], the amount of bleeding [(26.67±8.76) mL vs (76.88±19.07) mL] and the hospitalization expenses [(7099.00±763.80) yuan vs (9562.00±2548.00) yuan] of the study group were shorter or less than those of the control group with statistically significant differences (All P<0.05). The effective rate of treatment in the observation group was 83.3% and 62.5% higher than that in the control group at 6 months of follow-up, but the difference was not statistically significant, that is, P was greater than 0.05. Conclusion: Both operations can improve the patient's symptoms and effectively treat CSD. The clinical efficacy of new surgical folding suture CSD resection is superior to hysteroscopic combined with laparoscopic surgery with less trauma and hospitalization expenses. |
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