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目的探讨阴式手术与宫腹腔镜联合手术治疗剖宫产术后子宫切口憩室(PCSD)的疗效及安全性,为PCSD治疗方法的选择提供理论依据。方法选取2010年4月~2014年4月该院收治的PCSD患者87例为研究对象,其中施行阴道手术的患者30例为阴式手术组、施行宫腹腔镜联合手术的患者57例为宫腹腔镜联合组,比较两组手术情况及随访结果。结果两组患者的手术时间、术中出血量、术后住院时间和治疗费用比较,差异均有统计学意义(P<0.05);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。结论阴式手术与宫腹腔镜联合手术均能有效改善PCSD患者的症状,但两种术式各有特点和优势,在治疗PCSD时,应根据患者病情、生育要求及其他情况进行综合考虑和评估,选择最佳术式,以达到最好的手术效果。
Objective To investigate the efficacy and safety of vaginal surgery combined with laparoscopy in the treatment of postoperative uterine incision diverticulitis (PCSD) after cesarean section, and to provide a theoretical basis for the selection of the treatment of PCSD. Methods 87 patients with PCSD admitted to our hospital from April 2010 to April 2014 were enrolled. Among them, 30 patients underwent vaginal surgery were vaginal surgery group, and 57 patients undergoing laparoscopic combined surgery were intrauterine Microscopy combined group, the two groups were compared the surgical situation and follow-up results. Results There were significant differences in the operation time, blood loss, postoperative hospital stay and treatment costs between the two groups (P <0.05). There was no significant difference in anal exhaust time, effective rate and pregnancy rate Statistical significance (P> 0.05). No recurrence and complications occurred in both groups during the follow-up period. Conclusion Both vaginal surgery and laparoscopic hysteroscopy can effectively improve the symptoms of patients with PCSD. However, both of the two procedures have their own characteristics and advantages. When treating PCSD, they should be comprehensively considered and evaluated according to patient’s condition, birth requirement and other conditions , Choose the best surgery to achieve the best surgical results.