【摘要】 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。更多还原

【Abstract】 Objective To compare the clinical effect of hysteroscopic electrocoagulation and vaginal operation in the treatment of cesarean scar diverticulum. Methods Clinical data of 30 patients with cesarean scar diverticulum in Zhuhai Maternal and Child Health Hospital from 2012 to 2014 were selected. 14 cases treated by hysteroscopic electrocoagulation were selected into electrocoagulation group,16 cases treated by laparoscopy combined with vaginal operation were selected into vaginal operation group.The operation time,blood loss,hospital stay,and menstrual period recovery rates 2 months and 6 months after the operation were compared. Results The operation time [( 31. 50 ± 7. 03) min]and blood loss [( 4. 25 ± 1. 39) m L]of electrocoagulation group were less than that of vaginal operation group[( 75. 38 ± 10. 88) min,( 16. 25 ± 7. 44) m L]( P < 0. 05). The menstrual period recovery rate after 6 months of vaginal operation group [93. 8%( 15 /16) ]was higher than electrocoagulation group [64. 3%( 9 /14) ]( P <0. 05). Conclusion With shorter operation time and less blood loss during the operation,hysteroscopic electrocoagulation is preferred for cesarean scar diverticulum patients with recent fertility requirements,while vaginal operation has a better long- term effect.更多还原