CAJ | 학술논문

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）mL，均少于阴式组[（75.38±10.88）min，（16.25±7.44） mL]（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。
목적：대비분석궁강경전응술여음식수술치료자궁절구반흔게실적림상효과。방법선취2012～2014년재주해시부유보건원30례자궁절구반흔게실환자적림상자료，14례환자채용복강경하행궁강경전응술납입전응조，16례환자채용복강경연합음식수술납입음식조，비교량조환자수술시간、술중출혈량、주원시간，술후2월、6월경기회복정황。결과전응조수술시간（31.50±7.03） min、술중출혈량（4.25±1.39）mL，균소우음식조[（75.38±10.88）min，（16.25±7.44） mL]（P﹤0.05）。술후6월경기회복정상솔음식조[93.8％（15／16）]고우전응조[64.3％（9／14）]（P﹤0.05）。결론궁강경전응치료자궁절구반흔게실，구유수술시간단、술중창상출혈소，위근기유생육요구자적수선치료방법，이음식수술원기효과경가。
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) mL] of electrocoagulation group were less than that of vaginal operation group[(75.38 ±10.88) min, (16.25 ±7.44) mL] (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.