Feasibility Analysis of Hysteroscope Combined Laparoscope Surgery in the Treatment of Patients with Cesarean Scar Diverticulum Related Abnormal Uterine Bleeding
Objective:To analyze the feasibility of hysteroscope combined laparoscope surgery in the treatment of patients with cesarean scar diverticulum(CSD)related abnormal uterine bleeding.Method:The clinical data of 80 patients with CSD related abnormal uterine bleeding in Guixi People's Hospital from January 2018 to May 2023 were retrospectively analyzed.According to different treatment methods,they were divided into combined group(n=38)and basic group(n=42),in which the basic group was treated with hysteroscopy and the combined group was treated with hysteroscope combined laparoscope surgery.The perioperative related indexes of the two groups were compared.The improvement rate of menstruation after surgery of the two groups were observed.The depth of uterine diverticulum was compared between the two groups.The incidence of surgical complications(wound infection,bladder injury and massive bleeding)were compared between the two groups.Result:The operation time of patients in the combined group was significantly longer than that in the basic group,the difference was statistically significant(P<0.05).The surgical bleeding volume in the combined group was less than that in the basic group,and the time to clear lochia and the length of hospital stay were significantly shorter than those in the basic group,the differences were statistically significant(P<0.05).The recovery rate of the combined group was higher than that of the basic group,and the effective rate was lower than that of the basic group,the differences were statistically significant(P<0.05).There were no significant differences in the inefficiency and improvement rate between the two groups(P>0.05).After surgery,the depth of uterine diverticulum in both groups were significantly improved compared with that before operation(P<0.05).After surgery,there was no significant difference in the depth of uterine diverticulum between the two groups(P>0.05).There were no significant differences in the incidence of wound infection,bladder injury and massive bleeding between the two groups(P>0.05),but the total incidence of complications in the combined group was significantly lower than that in the basic group,the difference was statistically significant(P<0.05).Conclusion:The application of hysteroscope combined laparoscope surgery in patients with CSD related abnormal uterine bleeding takes a long operation time,but it can accelerate postoperative recovery and normal menstruation,and has good efficacy and safety.
Cesarean scar diverticulumAbnormal uterine bleedingHysteroscopyHysteroscope combined laparoscope surgery
万方数据
维普
