中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
22期
3404-3405
,共2页
子宫切口憩室%剖宫产术%再手术
子宮切口憩室%剖宮產術%再手術
자궁절구게실%부궁산술%재수술
Uterine incision diverticulum%Cesarean section%Reoperation
目的 观察经阴道修补治疗剖宫产术后子宫憩室的效果,探索治疗剖宫产术后子宫切口憩室的方法.方法 回顾性分析经阴道修补(A组)治疗的子宫切口憩室患者12例的临床资料,并与经腹部修补(B组)的患者13例进行比较,比较两种修补方法手术时间、术中出血量、术后排气时间、住院天数及下次月经经期天数.结果 A组手术时间48 min、术中出血量30 ml、术后排气时间9h、住院天数4.5d、下次月经经期天数3～5d,B组分别为120 min、120ml、16h、7.8d及3～5d,两组手术时间、术中出血量、术后排气时间、住院天数差异均有统计学意义(均P ＜0.05),两组下次月经经期天数差异无统计学意义(P＞0.05).结论 经阴道、经腹对剖宫产术后形成的子宫憩室修补治疗效果明确,但经阴道手术能明显缩短手术时间,减少术中出血量,缩短术后排气时间及降低住院天数,从而减少患者住院费用.
目的 觀察經陰道脩補治療剖宮產術後子宮憩室的效果,探索治療剖宮產術後子宮切口憩室的方法.方法 迴顧性分析經陰道脩補(A組)治療的子宮切口憩室患者12例的臨床資料,併與經腹部脩補(B組)的患者13例進行比較,比較兩種脩補方法手術時間、術中齣血量、術後排氣時間、住院天數及下次月經經期天數.結果 A組手術時間48 min、術中齣血量30 ml、術後排氣時間9h、住院天數4.5d、下次月經經期天數3～5d,B組分彆為120 min、120ml、16h、7.8d及3～5d,兩組手術時間、術中齣血量、術後排氣時間、住院天數差異均有統計學意義(均P ＜0.05),兩組下次月經經期天數差異無統計學意義(P＞0.05).結論 經陰道、經腹對剖宮產術後形成的子宮憩室脩補治療效果明確,但經陰道手術能明顯縮短手術時間,減少術中齣血量,縮短術後排氣時間及降低住院天數,從而減少患者住院費用.
목적 관찰경음도수보치료부궁산술후자궁게실적효과,탐색치료부궁산술후자궁절구게실적방법.방법 회고성분석경음도수보(A조)치료적자궁절구게실환자12례적림상자료,병여경복부수보(B조)적환자13례진행비교,비교량충수보방법수술시간、술중출혈량、술후배기시간、주원천수급하차월경경기천수.결과 A조수술시간48 min、술중출혈량30 ml、술후배기시간9h、주원천수4.5d、하차월경경기천수3～5d,B조분별위120 min、120ml、16h、7.8d급3～5d,량조수술시간、술중출혈량、술후배기시간、주원천수차이균유통계학의의(균P ＜0.05),량조하차월경경기천수차이무통계학의의(P＞0.05).결론 경음도、경복대부궁산술후형성적자궁게실수보치료효과명학,단경음도수술능명현축단수술시간,감소술중출혈량,축단술후배기시간급강저주원천수,종이감소환자주원비용.
Objective To observe the therapeutic effect of transvaginal repair of uterine diverticula after cesarean section.Methods The clinical data of 12 patients underwent transvaginal repair (group A) with uterine incision diverticulum treatment were retrospectively analyzed.13 cases underwent transabdominal repair of the uterine incision diverticulum were selected as group B.The operation time,intraoperative bleeding volume,postoperative exhaust time,hospital stay and the next days of menstrual period were compared between the two groups.Results In group A,the operation time was 48 min,the amount of bleeding was 30 ml,postoperative exhaust time was 9 h,the length of hospital stay was 4.5 d,the next time menstruation was 3-5 days,Those of group B were 120 min,120 ml,16 h,7.8 d and 3-5 d.The differences of operation time,bleeding volume,postoperative exhaust time,hospitalization days between the two groups were significant(P ＜ 0.05).There was no statistically significant difference between the two groups in the days of the next menstrual period (P ＞ 0.05).Conclusion The effect of transvaginal,transabdominal repair on uterine diverticula formation after cesarean section is clear,but the transvaginal operation can shorten the operation time,reduce intraoperative bleeding volume,shorten postoperative exhaust time and decrease the hospitalization days,thus reduce the cost of hospitalization.
