当代医学
噹代醫學
당대의학
Contemporary Medicine
2015年
29期
72-73
,共2页
剖宫产%宫腔镜%腹腔镜%子宫切口憩室
剖宮產%宮腔鏡%腹腔鏡%子宮切口憩室
부궁산%궁강경%복강경%자궁절구게실
Cesarean section%Hysteroscopy%Laparoscopy%Uterine incision diverticulum
目的 探究剖宫产术后子宫切口憩室的发生原因及宫腔镜联合腹腔镜进行修复的疗效.方法 选取行宫腔镜联合腹腔镜进行修复剖宫产后子宫憩室的30例患者进行回顾性分析和随访.结果 30例患者的临床表现主要为月经淋漓不净,经期延长,平均(13.8±2.5)d,7例表现为不孕,5例有经期下腹坠痛.所有患者手术中均无转开腹手术,无术中及术后并发症,无输血病例.手术时间44~88 min,平均(55.7±8.8)min,出血量为30~80 mL,平均(44.2±9.8)mL,住院时间3~12 d,平均住院时间(6.7±2.1)d.30例患者中除1例失败外(月经期持续16 d),其余症状均得到改善,有效率为96.7%,平均经期缩短到(8.7±1.8)d,与术前相比有显著统计学差异(t=9.068,P<0.001).所有患者术后复查阴道超声,除1例仍有子宫憩室(5mm×5mm)外,其余均修补成功.结论 宫腔镜联合腹腔镜修补子宫切口憩室的疗效肯定.
目的 探究剖宮產術後子宮切口憩室的髮生原因及宮腔鏡聯閤腹腔鏡進行脩複的療效.方法 選取行宮腔鏡聯閤腹腔鏡進行脩複剖宮產後子宮憩室的30例患者進行迴顧性分析和隨訪.結果 30例患者的臨床錶現主要為月經淋巑不淨,經期延長,平均(13.8±2.5)d,7例錶現為不孕,5例有經期下腹墜痛.所有患者手術中均無轉開腹手術,無術中及術後併髮癥,無輸血病例.手術時間44~88 min,平均(55.7±8.8)min,齣血量為30~80 mL,平均(44.2±9.8)mL,住院時間3~12 d,平均住院時間(6.7±2.1)d.30例患者中除1例失敗外(月經期持續16 d),其餘癥狀均得到改善,有效率為96.7%,平均經期縮短到(8.7±1.8)d,與術前相比有顯著統計學差異(t=9.068,P<0.001).所有患者術後複查陰道超聲,除1例仍有子宮憩室(5mm×5mm)外,其餘均脩補成功.結論 宮腔鏡聯閤腹腔鏡脩補子宮切口憩室的療效肯定.
목적 탐구부궁산술후자궁절구게실적발생원인급궁강경연합복강경진행수복적료효.방법 선취행궁강경연합복강경진행수복부궁산후자궁게실적30례환자진행회고성분석화수방.결과 30례환자적림상표현주요위월경림리불정,경기연장,평균(13.8±2.5)d,7례표현위불잉,5례유경기하복추통.소유환자수술중균무전개복수술,무술중급술후병발증,무수혈병례.수술시간44~88 min,평균(55.7±8.8)min,출혈량위30~80 mL,평균(44.2±9.8)mL,주원시간3~12 d,평균주원시간(6.7±2.1)d.30례환자중제1례실패외(월경기지속16 d),기여증상균득도개선,유효솔위96.7%,평균경기축단도(8.7±1.8)d,여술전상비유현저통계학차이(t=9.068,P<0.001).소유환자술후복사음도초성,제1례잉유자궁게실(5mm×5mm)외,기여균수보성공.결론 궁강경연합복강경수보자궁절구게실적료효긍정.
Objective To explore the pathogenesis of uterine scar defect after cesarean section and the effect of hysteroscopy combined laparoscopic surgical repair on the defect.Methods Thirty patients of uterine scar defect after cesarean section who underwent hysteroscopy examination and laparoscopic repair were reviewed retrospectively and followed.Results 30 patients had a prolonged period and the duration was (13.8±2.5) days, 7 cases had a history of infertility and 5 cases complained of abdominal pain during menstruation. There was no intra-operative complications and none of the patients required blood transfusion. The operation time was (55.7±8.8)min (44 - 88min), the blood loss was (44.2±9.8) mL (30-80mL). the duration was (6.7±2.1) days (3-12 days). In the 30 patients who had a recovery of menstruation ,expect 1 patient failed(the menstrual period was 16 days), the others received recovery and the effective rate was 96.7%. The mean menstrual period reduced to (8.7±1.8) days, which showed signiifcantly difference compared that before surgery. All the patients had trans-vaginal ultrasonic examination and the small defect was found in 1 patients (5mm×5mm). The rest were successfully repaired.Conclusion Hysteroscopy combined laparoscopic surgical performed satisifed effect on the patients with uterine scar defect.
