CAJ | 학술논문

目的：比较阴式手术与宫腔镜手术治疗剖宫手术后子宫切口憩室的疗效及安全性。方法选择2010年1月至2013年1月江西省妇幼保健院收治的50例剖宫产术后子宫切口憩室患者，其中阴式手术26例，宫腔镜手术24例，比较2组患者的手术及随诊情况。结果2组患者的术中出血量、手术时间及住院时间比较，差异均无统计学意义（P ＞0．05）；有效率及治疗费用比较，差异有统计学意义（P ＜0．05）；2组患者随访期内均无复发及并发症发生。结论阴式手术治疗剖宫产术后子宫切口憩室效果优于宫腔镜手术，宫腔镜检查对于诊断子宫切口憩室是非常有价值的方法。
목적：비교음식수술여궁강경수술치료부궁수술후자궁절구게실적료효급안전성。방법선택2010년1월지2013년1월강서성부유보건원수치적50례부궁산술후자궁절구게실환자，기중음식수술26례，궁강경수술24례，비교2조환자적수술급수진정황。결과2조환자적술중출혈량、수술시간급주원시간비교，차이균무통계학의의（P ＞0．05）；유효솔급치료비용비교，차이유통계학의의（P ＜0．05）；2조환자수방기내균무복발급병발증발생。결론음식수술치료부궁산술후자궁절구게실효과우우궁강경수술，궁강경검사대우진단자궁절구게실시비상유개치적방법。
ABSTRACT:Objective To compare the efficacy and safety of vaginal and hysteroscopic operation in the treatment of uterine incision diverticulum after cesarean section.Methods Data of 26 pa-tients who underwent vaginal operation and 24 patients who underwent hysteroscopic operation in Maternal and Child Health Care Hospital of Jiangxi Province between January 2010 and January 2013 for uterine incision diverticulum after cesarean section were analyzed retrospectively.The operation and follow-up results were compared between the two groups.Results There were no significant differences in intraoperative blood loss,operation time and hospital stay between the two groups(P >0.05).However,the differences in efficacy and costs were significant between the two groups(P <0.05).No recurrence and complications occurred in both groups.Conclusion Va-ginal operation is superior to hysteroscopic operation for treating uterine incision diverticulum af-ter cesarean section.Hysteroscopy is valuable for the diagnosis of uterine incision diverticulum.