目的：探讨剖宫产术后子宫切口憩室的临床治疗方法及效果。方法：选择本院2009年2月-2012年6月收治的剖宫产后子宫切口憩室90例患者的临床资料，其中A组40例患者行宫腹腔镜联合手术治疗，B组50例患者采用传统经阴道手术治疗，观察两组治疗效果。结果：全部患者治疗后月经淋漓不尽情况均消失，经期均较治疗前缩短，两组治疗后经期比较差异无统计学意义（P>0.05）；A组手术时间明显长于B组，而术中出血量、住院时间明显少于B组，比较差异均有统计学意义（P<0.05），术后并发症发生情况比较差异无统计学意义（P>0.05）。结论：宫腹腔镜联合手术及经阴道手术均可有效治疗子宫切口憩室，显著改善患者症状，但前者创伤小，患者术后恢复快，值得应用。%Objective:To investigate the clinical treatment of cesarean section uterine incision diverticulum and effects.Method:The clinical data of 90 cases after cesarean section uterine incision diverticulum were selected in our hospital from February 2009 to June 2012,40 cases of group A was treated with palace laparoscopy combined surgical treatment,50 cases of group B was treated with traditional vaginal surgery,the treatment effect of two groups were observed.Result:All of the patients after treatment,menstrual dripping wet endless cases were disappeared,the menstrual period significantly shortened compared with before treatment,the menstrual period of two groups were compared after treatment,there was no statistically significant difference(P>0.05).The operation time in A group was significantly longer than those of group B,while the volume of blood loss during operation and hospitalization time were less than group B,there were statistically significant differences(P<0.05),postoperative complications had no significant difference(P>0.05).Conclusion:Palace joint surgery and transvaginal laparoscopic surgery can be effective treatment of uterine incision diverticulum,significantly improve patients with symptoms,but the former small trauma and postoperative patients recover quickly and worthy of application.
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