阴道超声辅助腹腔镜手术治疗剖宫产切口憩室的疗效分析

Therapeutic effect of vaginal ultrasound-assisted laparoscopic surgery for previous cesarean scar defect

摘要:

摘要：目的??探讨阴道超声辅助腹腔镜手术治疗剖宫产切口憩室（PCSD）的临床疗效。方法 选择该院2014年1月－2018年6月无阴道超声辅助腹腔镜手术治疗的PCSD患者45例（A组）和有阴道超声辅助腹腔镜手术治疗的PCSD患者45例（B组）。记录手术时间、术中出血量、术后阴道流血时间、住院时间；术后月经来潮需要时间、经期时间、月经缩短天数、月经量；阴道超声测量憩室宽度和长度；术后1年内复发例数。结果 B组手术时间、术中出血量、术后阴道流血时间和住院时间均少于A组（P??0.05）。结论 与单纯腹腔镜下PCSD修补术比较，阴道超声辅助腹腔镜下PCSD修补术在缩短手术时间和住院时间、减少术中出血量、促进月经恢复、减少憩室宽度和长度等方面具有优势。

Abstract:

Abstract: Objective?To investigate the clinical efficacy of vaginal ultrasound-assisted laparoscopic surgery for previous cesarean scar defect (PCSD).?Methods?45 patients with laparoscopic surgery for PCSD (without vaginal ultrasound-assisted) were selected as group A, and 45 patients with vaginal ultrasound-assisted laparoscopic surgery for PCSD were selected as group B from January 2014 to June 2018. The operation time, intraoperative blood loss, postoperative vaginal bleeding time and hospital stay were recorded. The time required for postmenopausal menstruation, the menstrual period, the number of menstrual shortening days and the amount of menstruation were recorded. Vaginal ultrasound was used to measure the width and length of the diverticulum. The number of recurrence rate within 1 year after surgery was recorded.?Results?The operation time, intraoperative blood loss, postoperative vaginal bleeding time and hospitalization time in group B were all lower than those in group A (P??0.05). ?Conclusion?Compared with simple laparoscopic PCSD repair, vaginal ultrasound-assisted laparoscopic PCSD repair has advantages in shortening the operation time, intraoperative blood loss and hospitalization time; promoting menstrual recovery; reducing the width and length of the diverticulum.