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应用宫腹腔镜联合手术治疗子宫切口憩室的疗效评价

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目的 评价应用宫腹腔镜联合手术治疗子宫切口憩室的疗效.方法 选取2021年1月—2023年1月湘雅常德医院收治的子宫切口憩室患者48例进行分析.遵从随机抽样分组法平均分组,24例行经阴道手术治疗者归入对比组,24例行宫腹腔镜联合手术治疗者归入治疗组.分析两组治疗疗效的差异性.结果 经过治疗后,治疗组的手术时间长于对比组,但术后排气时间、术后阴道流血时间更短,差异有统计学意义(P均<0.05);治疗组的切口憩室愈合情况优于对比组,治疗组的月经改善情况优于对比组,治疗组的治疗疗效高于对比组,差异有统计学意义(P均<0.05);治疗组的并发症发生率为4.17%,低于对比组的25.00%,差异有统计学意义(χ2=4.181,P<0.05).结论 宫腹腔镜联合手术治疗子宫切口憩室可以减小切口憩室的面积、甚至憩室完全消失,提高治疗效果,能够有效缓解患者不良症状,同时该手术能缩短术后排气时间、阴道流血时间以及减少并发症的发生.
Evaluation of the Efficacy of Application of Combined Hysteroscopic Lapa-roscopy Surgery in the Treatment of Uterine Incision Diverticulum
Objective To evaluate the efficacy of the application of combined hysteroscopic laparoscopy surgery for the treatment of uterine incision diverticulum.Methods Forty-eight patients with uterine incision diverticulum admit-ted to Xiangya Changde Hospital from January 2021 to January 2023 were selected for analysis.Following the random sampling grouping method,24 cases treated with transvaginal surgery were categorized into the comparison group,and 24 cases treated with combined hysteroscopic laparoscopy surgery were categorized into the treatment group.The dif-ferences in treatment efficacy between the two groups were analyzed.Results After treatment,the operation time of the treatment group was longer than that of the comparison group,but the postoperative ventilating time and postopera-tive vaginal bleeding time were shorter,and the differences were statistically significant(all P<0.05).The healing of in-cision diverticulum in the treatment group was better than that in the comparison group,and the improvement of men-struation in the treatment group was better than that in the comparison group,and the treatment efficacy of the treat-ment group was higher than that of the comparison group,and the difference was statistically significant(all P<0.05).The incidence rate of complications in the treatment group was 4.17%,which was lower than 25.00%in the compari-son group,and the difference was statistically significant(χ2=4.181,P<0.05).Conclusion The combined hystero-scopic laparoscopy surgery for the treatment of uterine incision diverticulum can reduce the area of incision diverticu-lum,or even the diverticulum completely disappeared,improve the therapeutic effect,and be able to effectively allevi-ate the adverse symptoms of the patients,and at the same time,this surgery can shorten the time of postoperative vent-ing and vaginal bleeding,and reduce complications.

Hysteroscopic laparoscopySurgeryUterine incision diverticulumTherapeutic efficacy

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湘雅常德医院妇科,湖南常德 415000

宫腹腔镜 手术 子宫切口憩室 治疗疗效

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(11)