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目的比较宫腹腔镜下瘢痕切除修补术与雌孕激素在剖宫产切口憩室中的治疗效果,以期探索有效干预措施。方法将该科收治的78例剖宫产切口憩室患者,随机分为宫腹腔镜下疤痕切除修补术组(简称观察组)及雌孕激素周期药物治疗组(简称对照组),观察两组患者治疗过程以及术后的相关指标,随访3个月进行生活质量评定。结果与对照组比较,观察组的并发症发生率、阴道出血持续时间、单日最大出血量均降低明显,而愿意再次妊娠、切口憩室完全愈合以及明显缩小者的比例、随访期间患者的躯体功能、机体疼痛、健康状况以及生命力的评分均增加明显,差异有统计学意义(P<0.05)。结论宫腹腔镜下瘢痕切除修补术可缩短患者的阴道出血持续时间,提高剖宫产切口憩室患者的再次妊娠意愿,促进切口愈合,降低并发症,有助于提高患者的生活质量,具有较好的临床推广价值。
Objective To compare the effect of laparoscopic cystectomy and excision of estrogen and progesterone in cesarean section incision diverticulum in order to explore effective interventions. Methods Seventy eight cesarean section incisional diverticulum patients were randomly divided into laparoscopic hysterectomy group (observation group) and estrogen and progesterone cycle drug treatment group (shortened as control group). Two groups of patients The course of treatment and postoperative related indicators, follow-up of 3 months for quality of life assessment. Results Compared with the control group, the incidence of complications, the duration of vaginal bleeding and the maximum amount of bleeding in the observation group were significantly lower than those in the control group. However, the proportion of patients willing to re-pregnancy, complete healing of incision and diverticulum, , Body pain, health status and vitality increased significantly, the difference was statistically significant (P <0.05). Conclusion Laparoscopic scar resection and repair can shorten the duration of vaginal bleeding in patients with cesarean incision diverticulum to improve the wishes of the second pregnancy, promote incision healing, reduce complications and improve the quality of life of patients with better The clinical promotion value.