剖宫产子宫瘢痕憩室两种自然腔道手术的疗效比较

Abstract
Figure/Table
References
Related Citation (11)

Download: PDF (556 KB) HTML (0 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the efficacy and clinical applicability of two surgical approaches to uterine scar diverticulum (hysteroscopy and transvaginal uterine scar diverticulum resection) through natural orifices.Methods A total of 84 patients with prolonged menstrual periods after cesarean section admitted between June 2016 and June 2019 were confirmed to be cases of uterine scar diverticulum by B ultrasound and hysteroscopy examination.Thirty-one of them were treated with hysteroscopic resection,and the rest with transvaginal uterine scar diverticulum resection.Resluts The total effective rate was 87.1% in the hysteroscopy group and 86.8% in the transvaginal surgery group three months after operation.The average duration of surgery in the hysteroscopy group and transvaginal surgery group was (19.3±6.1)min and (33.3±7.1)min,respectively.The mean volume of intraoperative blood loss was (11.5±3.7)ml in the hysteroscopy group and (48.2±10.7)ml in the transvaginal surgery group,respectively.The postoperative pain scores of the hysteroscopy group and transvaginal group were(1.3±0.9) and (3.3±1.1) respectively.Hospitalization expenses were(4817±386)and(11071±1041) yuan,and postoperative hospital stay was(1.4±0.7) days and (3.2±0.8)days,respectively.There was no significant difference in the therapeutic effect between the two approaches.Conclusions The two surgical approaches to uterine scar diverticulum through natural orifices can both achieve satisfactory clinical outcomes,but hysteroscopic resection involves less bleeding,shorter duration of surgery and hospital stay,and lower expenses than transvaginal surgery,so it is suitable for extensive clinical application in the treatment of uterine scar diverticulum.

Key words： uterine scar diverticulum hysteroscopy transvaginal operation

Received: 13 April 2020

ZTFLH:

R713.4

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	NING Jing
	LI Yan
	YANG Yang

Cite this article:

NING Jing,LI Yan,YANG Yang. Comparison of two surgical approaches to uterine scar diverticulum through natural orifices[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2020, 31(11): 952-954.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2020/V31/I11/952

[1]	刘兴会,段涛,漆洪波,等.剖宫产术缝合技术及材料选择专家共识(2018)[J].中国实用妇科与产科杂志,2018,34(4):405-408.
[2]	Suneet P C,Everett F M,Christopher D W.Pregnancy after classic cesarean delivery[J].Obstet Gynecol,2002,100(5):946-950.
[3]	Thurmond A S,Harvey W J,Smith S A,et al.Cesarean section scar as a cause of abnormal vaginal bleeding:diagnosis by sonohysterography[J].J Ultrasound Med,1999,18(1):13-16.
[4]	丁景新,陈建亮,张宏伟.宫腹腔镜联合修补剖宫产术后子宫切口憩室[J].复旦学报(医学版),2012,39(5):506-510.
[5]	Bij A J,Voet L F,Naji O A.Prevalence,potential risk factors for development and symptoms related to the presence of uterine niches following cesarean section:systematic review[J].Ultrasound Obstet Gynecol,2014,43(4): 372-382.
[6]	Cecilia F,Pablo A,Carlos F.Surgical treatment and follow-up of women with intermenstrual bleeding due to cesarean section scar defect[J].J Minim Invasive Gynecol,2005,12(1):25-28.
[7]	刘琳琳,黄晓武,夏恩兰.宫腔镜治疗有症状剖宫产切口憩室103例分析[J].国际妇产科学杂志,2018,45(3):291-294.