Li Cuilan, Tang Shiyan, Gao Xingcheng, Lin Wanping, Han Dong, Zhai Jinguo, Mo Xuetang, Zhou Lee Jaden Gil Yu Kang
The Third Affiliated Hospital, Guangzhou Medical University, Key Laboratory for Major Obstetric Diseases of Guangdong Province, Key Laboratory of Reproduction and Genetics of Guangdong Higher Education Institutes, Guangzhou, Guangdong 510145, China.
St. Louis School, 179 Third Street, Sai Ying Pun, Hong Kong.
Biomed Res Int. 2016;2016:1765624. doi: 10.1155/2016/1765624. Epub 2016 Mar 15.
Diverticulum, one of the long-term sequelae of cesarean section, can cause abnormal uterine bleeding and increase the risk of uterine scar rupture. In this study, we aimed to evaluate the efficacy of combined laparoscopic and hysteroscopic repair, a newly occurring method, treating post-cesarean section uterine scar diverticulum.
Data relating to 40 patients with post-cesarean section uterine diverticulum who underwent combined laparoscopic and hysteroscopic repair were retrospectively analyzed. Preoperative clinical manifestations, size of uterine defects, thickness of the lower uterine segment (LUS), and duration of menstruation were compared with follow-up findings at 1, 3, and 6 months after surgery.
The average preoperative length and width of uterine diverticula and thickness of the lower uterine segment were recorded and analyzed. The average durations of menstruations at 1, 3, and 6 months after surgery were significantly shorter than the preoperative one (p < 0.05), respectively. At 6 months after surgery, the overall success improvement rate of surgery was 90% (36/40). Three patients (3/40 = 7.5%) developed partial improvement, and 1/40 (2.5%) was lost to follow-up.
Our findings showed that combined treatment with laparoscopy and hysteroscopy was an effective method for the repair of post-cesarean section uterine diverticulum.
憩室是剖宫产的长期后遗症之一，可导致异常子宫出血并增加子宫瘢痕破裂的风险。在本研究中，我们旨在评估一种新出现的方法——腹腔镜联合宫腔镜修复术治疗剖宫产术后子宫瘢痕憩室的疗效。
回顾性分析40例行腹腔镜联合宫腔镜修复术的剖宫产术后子宫憩室患者的数据。将术前临床表现、子宫缺损大小、子宫下段厚度及月经持续时间与术后1、3和6个月的随访结果进行比较。
记录并分析术前子宫憩室的平均长度和宽度以及子宫下段的厚度。术后1、3和6个月的平均月经持续时间分别明显短于术前（p < 0.05）。术后6个月，手术的总体成功改善率为90%（36/40）。3例患者（3/40 = 7.5%）有部分改善，1例（1/40 = 2.5%）失访。
我们的研究结果表明，腹腔镜联合宫腔镜治疗是修复剖宫产术后子宫憩室的有效方法。
