宫腹腔镜联合手术治疗剖宫产子宫切口瘢痕缺陷

Hysteroscopic and laparoscopic management of women with previous cesarean scar defect

摘要:

目的  探讨剖宫产子宫切口瘢痕缺陷应用宫腹腔镜联合手术治疗的安全性及可行性。 方法  选择经阴道彩超及宫腔镜诊断的剖宫产切口瘢痕缺陷患者8例，在全麻下进行宫腹腔镜联合手术，放置举宫杯后分离子宫膀胱腹膜返折，宫腔镜定位后切除子宫切口瘢痕缺陷部位组织，缝合子宫肌层，再用宫腔镜进行评估。 结果  8例患者手术顺利，平均手术时间为（86.24±25.36）min，平均术中出血量（93.25±28.24）ml，术后经期由原来的（13.00±3.65）d缩短至（5.85±1.54）d（P <0.05）。1例合并不孕症患者术后妊娠。结论  宫腹腔镜联合手术治疗剖宫产子宫切口瘢痕缺陷是一种安全、可行的方法。

Abstract:

 

Abstract: Objective To explore the feasibility and safety of hysteroscopy combined with laparoscopy for the treatment of women with previous cesarean scar defect (PCSD). Method From June 2013 to November 2014, 8 women with PCSD received hysteroscopy combined with laparoscopy in our hospital, and their clinical data were analyzed. Result All the operations were successfully，the average surgery time was (86.24 ± 25.36) min, the average intraoperative blood loss was (93.25 ± 28.24) ml. The menstrual period was (5.85 ± 1.54) d compared with (13.00 ± 3.65) d preoperatively (P < 0.05). One case with infertility was pregnant after 6 months. Conclusion Hysteroscopic and Laparoscopic management is feasible and safe for PCSD.