论文部分内容阅读
目的研究宫腹腔镜联合手术在子宫瘢痕憩室临床中的可行性。方法 15例子宫瘢痕憩室患者作为研究对象。术前所有患者均行阴道B超检查和常规宫腔镜检查。术中给予患者常规消毒方法 ,并进行具体的宫腹腔镜联合手术操作。术后进行常规腹腔镜手术护理。观察其临床疗效。结果 15例患者均顺利完成手术,且无并发症发生。患者手术时间平均为(1.0±0.4)h,平均术中出血量为(20.5±5.0)ml,术后平均排气时间为(22.0±8.2)h,术后平均住院时间为(3.0±2.8)d,术后平均经期为(6.5±2.0)d,术后平均经量为(47.3±32.9)ml。与术前[平均经期为(12.0±5.8)d,平均经量为(70.5±20.3)]相比,术后经期和经量明显改善,差异具有统计学意义(P<0.05)。结论在子宫瘢痕憩室临床治疗中,宫腹腔镜联合手术具有一定的治疗效果,有助于减少患者手术时间和出血量,有效改善患者的术后经期和经量,促进患者疾病的恢复,但其可行性仍需进行大量的研究。
Objective To study the feasibility of hysteroscope combined with laparoscopic surgery in the clinical study of scarring diverticulum. Methods Fifteen patients with uterine scar diverticulum were studied. All patients underwent preoperative vaginal B-ultrasound and conventional hysteroscopy. Intraoperative patients given routine disinfection methods, and the specific laparoscopic surgery combined with surgery. Postoperative routine laparoscopic surgery. Observe its clinical efficacy. Results All the 15 patients completed the operation without complications. The mean operative time was (1.0 ± 0.4) h, the mean intraoperative blood loss was (20.5 ± 5.0) ml, the mean postoperative mean duration of extubation was (22.0 ± 8.2) h, and the average postoperative hospital stay was (3.0 ± 2.8) d. The average postoperative menstrual period was (6.5 ± 2.0) d, and the average postoperative mean volume was (47.3 ± 32.9) ml. Compared with the preoperative [mean duration of (12.0 ± 5.8) d, mean longitude (70.5 ± 20.3)], the postoperative menstrual period and the amount of menstrual flow were significantly improved with statistical significance (P <0.05). Conclusion In the treatment of uterine scar diverticulum, hysteroscopy and laparoscopy combined surgery has a certain therapeutic effect, which will help to reduce the operation time and bleeding volume, effectively improve the postoperative menstrual period and the amount of the patient, and promote the recovery of the patient’s disease Feasibility still needs a lot of research.