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目的探讨阴式超声、宫腹腔镜以及阴式手术在剖宫产切口憩室诊断及治疗中的临床价值。方法回顾分析超声宫腹腔镜阴式手术联合诊治剖宫产术后子宫切口憩室24例患者的临床资料。结果 23例患者术后随访3~18个月。患者术后第3个月月经干净3~5 d行宫腔镜检查见切口愈合良好,憩室消失;治疗后18个月随访月经期<8 d,月经不规则出血好转。另外1例失访。结论阴道超声及宫腔镜检查是诊断剖宫产切口憩室的有效方法 ;宫腹腔镜手术以及阴式手术是治疗剖宫产切口憩室安全有效的方法。
Objective To investigate the clinical value of vaginal ultrasound, laparoscopy and vaginal surgery in the diagnosis and treatment of cesarean section incision diverticulum. Methods The clinical data of 24 cases of uterine incision diverticulum after cesarean section combined with transvaginal sonography by laparoscopy and vaginal surgery were retrospectively analyzed. Results 23 patients were followed up for 3 to 18 months. In the third month after operation, the menstruation was clean for 3 to 5 days. Hysteroscopy showed that the incision healed well and the diverticulum disappeared. After 18 months of follow-up, the menstrual period was less than 8 days, irregular menstruation improved. Another case lost to follow up. Conclusions Vaginal ultrasound and hysteroscopy are effective methods for diagnosis of cesarean section incision diverticula. Hysteroscopy and vaginal surgery are safe and effective in treating cesarean section incision diverticulum.