摘要
目的探析在经阴道子宫修补术治疗剖宫产术后子宫瘢痕憩室中使用双层连续缝合的临床价值。方法选取2019年4月至2020年4月在商丘市妇幼保健院接受治疗的剖宫产手术后出现子宫瘢痕憩室的102例患者作为观察对象,将患者按照数字法随机分为对照组和观察组,每组各51例。两组产妇均接受经阴道子宫修补术治疗子宫瘢痕憩室,在术中,观察组患者接受双层连续缝合,对照组患者则接受单层缝合,对比两组患者围手术期手术所需时间、术中出血量以及患者住院时间,对比两组临床疗效以及术后子宫瘢痕憩室复发的情况,并进行结果分析。结果观察组患者手术治疗所需时间为(78.66±11.20)min,明显长于对照组的(52.46±12.33)min,观察组术中出血量、住院时间均明显较对照组患者少,差异具有统计学意义(P<0.05);观察组患者治疗有效率(92.16%)明显高于对照组(76.47%),差异具有统计学意义(P<0.05);复发率也明显低于对照组,组间对比结果差异具有统计学意义(P<0.05)。结论在经阴道子宫修补术治疗剖宫产术后子宫瘢痕憩室过程中使用双层连续缝合获得了较为满意的效果,能够加快患者恢复速度,明显提升治疗效果,减少复发,具有较高的临床应用价值。
Objective To explore the clinical value of double-layer continuous suture in the treatment of uterine scar diverticulum after cesarean section by transvaginal uterine repair.Methods A total of 102 patients with uterine scar diverticulum after cesarean section treated in our hospital from April 2019 to April 2020 were selected as the observation objects.The patients were randomly divided into control group and observation group according to the random digital table method,with 51 cases in each group.Both groups of parturients received transvaginal uterine repair for the treatment of uterine scar diverticulum.During the operation,the patients in the observation group received double-layer continuous suture and the patients in the control group received single-layer suture.The perioperative operation time,the amount of intraoperative bleeding and hospital stay of the two groups were compared.The clinical efficacy and postoperative recurrence of uterine scar diverticulum of the two groups were compared,and the results were analyzed.Results The surgical treatment time in the observation group was(78.66±11.20)min,significantly longer than that in the control group(52.46±12.33)min,the intraoperative bleeding volume and the hospital time in the observation group were significantly less than those in the control group,and the differences were statistically significant(P<0.05).The treatment response rate of patients in the observation group was 92.16%,significantly higher than that of the control group(76.47%),and the difference was statistical significant(P<0.05).The recurrence rate in the observation group was also significantly lower than that in the control group,and the difference between the group comparison result was statistically significant(P<0.05).Conclusion The use of double-layer continuous suture in the treatment of uterine scar diverticulum after cesarean section by transvaginal uterine repair gain relatively satisfactory effect,which can accelerate the recovery speed of patients,significantly improve the treatment effect and reduce recurrence,with high clinical application value.
作者
董莉
DONG Li(Department of Obstetrics and Gynecology,Shangqiu Maternal and Child Health Hospital,Shangqiu Henan 476000,China)
出处
《临床研究》
2022年第11期54-56,共3页
Clinical Research
关键词
剖宫产术后子宫瘢痕憩室
子宫修补术
双层连续缝合
经阴道手术治疗
临床效果
预后
uterine scar diverticulum after cesarean section
uterine repair
double layer continuous suture
transvaginal surgery
clinical effect
prognosis
