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目的探讨经阴道切除剖宫产术后子宫切口憩室的临床疗效。方法对本院2010年1月~2013年1月,采用经阴道切除子宫切口憩室18例患者的临床资料进行回顾性分析。结果 18例患者,术中经过均顺利完成,手术时间平均为(l.2±0.5)h,术中出血量平均为(72.3±31.9)ml,术后平均住院(4.8±2.2)d。术后随访1~3年,症状缓解率为94.4%,术后经期较术前平均减少(6.7±2.9)d,差异有统计学意义(P<0.001)。结论经阴道切除子宫瘢痕憩室治疗剖宫产子宫切口憩室效果满意,值得临床推广。
Objective To investigate the clinical efficacy of transvaginal cesarean section incision diverticulum after cesarean section. Methods From January 2010 to January 2013, the clinical data of 18 cases of vaginal diverticulum underwent vaginal resection were retrospectively analyzed. Results All the 18 patients completed the operation successfully. The average operation time was (1.2 ± 0.5) h. The average amount of bleeding during the operation was (72.3 ± 31.9) ml and the average postoperative hospital stay was (4.8 ± 2.2) days. Postoperative follow-up 1-3 years, the rate of symptom relief was 94.4%, postoperative menstrual period than the preoperative average reduction (6.7 ± 2.9) d, the difference was statistically significant (P <0.001). Conclusion Transvaginal resection of uterine scar diverticulum cesarean section for the treatment of hysteroscopic diverticulum effect is satisfactory, worthy of clinical promotion.