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目的探讨经阴道子宫瘢痕修补术治疗剖宫产术后子宫切口憩室的临床价值。方法对18例剖宫产术后子宫切口憩室的病例资料进行回顾性分析。结果平均手术时间(42±3)min,术中平均出血量(30±15)ml,平均住院时间(5±2)d,术后随访6~12个月,术后平均正常月经来潮时间(27±4)d,其中15例治愈,治愈率为83%,1例患者于术后9个月复发,复发率为6%;2例患者病情好转,好转率为11%,1例患者术后症状无改善,无效率为6%,经阴道子宫瘢痕修补术治疗子宫切口憩室的手术总有效率94%。平均住院费用7000元左右,社会效益显著。结论经阴道子宫瘢痕修补术治疗剖宫产术后子宫切口憩室保留了患者的生育功能,符合微创理念,又是安全、价廉、手术要求较低的术式,值得临床推广。
Objective To investigate the clinical value of transvaginal uterine scar repair for cesarean section incision diverticulum. Methods 18 cases of cesarean section after uterine incision diverticulum case data were retrospectively analyzed. Results The average operation time (42 ± 3) min, mean intraoperative blood loss (30 ± 15) ml, average length of hospital stay (5 ± 2) d, postoperative follow-up of 6 to 12 months, mean postoperative normal menstrual period 27 ± 4) d, of which 15 cases were cured, the cure rate was 83%, 1 patient recurred 9 months after operation, the recurrence rate was 6%; 2 patients improved condition, the improvement rate was 11%, 1 patient After the symptoms did not improve, the inefficiency was 6%, transvaginal uterine scar repair operation of the uterine incision diverticulum total efficiency of 94%. The average cost of hospitalization about 7000 yuan, significant social benefits. Conclusion Transvaginal uterine scar repair for uterine incision diverticulum after cesarean section retains the reproductive function of patients in line with the concept of minimally invasive, but also safe, inexpensive, less demanding surgical procedures, is worth clinical promotion.