[1]曹晓明,黄庆,史玉爽,等.不同剖宫产缝合方式对子宫切口瘢痕憩室形成的影响[J].中国计划生育和妇产科,2017,(3):31-33.
　CAO Xiao-ming,HUANG Qing,SHI Yu-shuang,et al.The influence of different cesarean section suture on the formation of uterine incision scar diverticulum[J].Chinese Journal of Family Planning & Gynecotokology,2017,(3):31-33.
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不同剖宫产缝合方式对子宫切口瘢痕憩室形成的影响
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年3期
页码:
31-33
栏目:
论著与临床
出版日期:
2017-03-25

文章信息/Info

Title:
The influence of different cesarean section suture on the formation of uterine incision scar diverticulum
作者:
曹晓明; 黄庆; 史玉爽; 盛利*
荆州市第一人民医院妇产科
Author(s):
CAO Xiao-ming; HUANG Qing; SHI Yu-shuang; SHENG Li*
Jingzhou First People’s Hospital, Hubei Jingzhou 434000,P.R.China
关键词:
剖宫产; 缝合方式; 憩室; 瘢痕
Keywords:
cesarean section;  suture;  diverticulum;  scar
分类号:
R 719.8
摘要:
目的探讨不同剖宫产缝合方式对子宫切口瘢痕憩室形成的影响。方法选取2014年3月至2015年9月东莞市第五人民医院收治的365例择期行剖宫产产妇作为研究对象，按随机数字表法将其分为对照组和研究组。研究组产妇剖宫产切口采用双层连续缝合，对照组产妇剖宫产切口采用单层连续缝合。比较两组产妇憩室肌层厚度、憩室形成例数、憩室容积、术中出血量、手术时间、肛门排气时间、术后恶露持续时间及住院时间。结果两组术中出血量、手术时间、肛门排气时间、术后恶露持续时间及住院时间比较差异无统计学意义(P>005)。研究组产妇憩室形成率（383%）与憩室容积［(036±012)mL］低于对照组［934 %，（049±009）mL］，憩室肌层厚度［(763±192)mm］高于对照组［(548±251)mm］，差异均有统计学意义(P<005)。结论双层连续缝合有利于剖宫产切口愈合，瘢痕憩室程度可得到改善。
Abstract:
ObjectiveTo evaluate the influence of different cesarean section suture on the formation of uterine incision scar diverticulum.Methods365 cases of elective cesarean section puerpera in Fifth People 's Hospital of Dongguan City from March 2014 to September 2015 were selected and divided into research group and control group.Research group were treated with double continuous suture,control group were treated with single-layer continuous suture.Diverticulum muscle thickness, diverticulum formation cases, diverticulum volume, intraoperative blood loss, operation time, anal exhaust time, postoperative lochia duration and hospital stay were compared between the two groups.ResultsThere was no significant difference between the two groups in the amount of blood loss, operation time, anal exhaust time, duration of postoperative lochia and hospital stay(P>005).Diverticulum formation rate and diverticulum volumevs of the research group［3.83%,(036±012)mL］ were lower than that of the control group［9.34%,(049±009)mL］,and diverticulum muscle thickness［(763±192)mm］ were higher than the control group［(548±251)mm］.The differences were statistically significant (P<005）.ConclusionDouble continuous suture is conducive to the healing of cesarean section incision,scar diverticulum degree could be improved.

参考文献/References:

［1］陈玉清，常亚杰，姚书忠．阴式手术在子宫切口瘢痕憩室治疗中的应用 ［J］．中华妇产科杂志，2012，47 （8）：626-628． ［2］苏冠男，王武亮，袁博，等．子宫切口瘢痕憩室形成的相关因素研究 ［J］．中国全科医学，2015，18 （4）：421-424． ［3］陶峰，周颖，胡卫平，等．子宫切口瘢痕憩室的研究进展 ［J］．中华妇产科杂志，2014，49 （1）：64-66． ［4］曾朝阳，庄晨玉．两种手术方式治疗剖宫产子宫切口瘢痕憩室的比较 ［J］．中南医学科学杂志，2014，12 （2）：166-168． ［5］SURAPANENI K, SILBERZWEIG J E Cesarean section scar diverticulum: appearance on hysterosalpingography ［J］. American Journal of Roentgenology, 2008, 190 (4): 870-874. ［6］ZHOU J, YAO M, WANG H, et al. Vaginal repair of cesarean section scar diverticula that resulted in improved postoperative menstruation ［J］. Journal of Minimally Invasive Gynecology, 2016, 23 (6): 969-978. ［7］刘成丽，赵小辉，刘海燕，等．探讨三种术式在子宫切口瘢痕憩室治疗中的作用 ［J］．医学信息，2015，13 （10）：166． ［8］安海霞，吴素慧，尚海霞.剖宫产术后子宫瘢痕妊娠的诊治进展［J］.中国计划生育和妇产科，2016，8（8）：29-33. ［9］CHEN Yu-qing, CHANG Ya-jie, YAO Shu-zhong. Transvaginal management of cesarean scar section diverticulum: a novel surgical treatment ［J］. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 2014, 20 (4): 1395-1399. ［10］石一复．异位妊娠的病因及危险因素 ［J］．现代妇产科进展，2008，17 （6）：401-402． ［11］MASUDA H, UCHIDA H, MARUYAMA T, et al. Successful treatment of atypical cesarean scar defect using endoscopic surgery ［J］. BMC Pregnancy and Childbirth, 2015, 15 (1): 342. ［12］TOWER A M, FRISHMAN G N. Cesarean scar defects: an underrecognized cause of abnormal uterine bleeding and other gynecologic complications ［J］. Journal of Minimally Invasive Gynecology, 2013, 20 (5): 562-572.

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更新日期/Last Update: 2017-03-25