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宫腹腔镜联合手术治疗剖宫产术后子宫切口憩室的临床分析 被引量：41

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摘要 目的：探讨剖宫产术后子宫切口憩室的原因及宫腹腔镜联合手术治疗的效果。方法：回顾分析2011年9月至2013年6月我院收治的剖宫产术后子宫切口憩室经宫腹腔镜联合手术治疗的15例患者的临床资料。结果：11例患者术前经阴道超声检查发现,4例患者阴道超声检查子宫未见异常,后经盆腔MRI检查提示为剖宫产术后子宫切口憩室。采取经宫腹腔镜联合手术修补子宫切口憩室,未发生与手术相关并发症。术后随访平均3.6月（3-7月）,13例患者经期恢复至正常,2例患者术后月经改善不明显,术后复查B超及宫腔镜见仍有子宫小憩室。结论：宫腔镜联合阴道超声、MRI可作为剖宫产术后子宫切口憩室诊断的较佳方法。严格掌握剖宫产的指征、改进缝合技术、预防感染是预防子宫憩室的重要措施。宫腹腔镜联合手术是切除子宫憩室的有效治疗手段。
作者 叶丽虹 方雅琴 田国琴 金伟芬
机构地区 中国医科大学绍兴医院
出处 《现代妇产科进展》 CSCD 2014年第9期742-743,共2页 Progress in Obstetrics and Gynecology
关键词 剖宫产 子宫切口憩室 宫腔镜 腹腔镜
分类号 R713.4 [医药卫生—妇产科学]
  • 相关文献

参考文献7

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二级参考文献30

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共引文献166

同被引文献209

  • 1曹婷,窦亚丽.180例再次手术病人的心理护理[J].中国社区医师（医学专业）,2004,6(10):70-71. 被引量：1
  • 2陶雯琪,刘伯宁.剖宫产后子宫憩室一例[J].中华围产医学杂志,2004,7(4):254-254. 被引量：16
  • 3邓娅莉,丁依玲,范雪梅.剖宫产术后子宫切口愈合不良56例临床分析[J].实用预防医学,2006,13(2):388-389. 被引量：44
  • 4郎景和.推行微创观念 发展微创外科[J].中国实用妇科与产科杂志,2007,23(8):577-579. 被引量：40
  • 5张红梅,商九香,陈英.腹腔镜下卵巢良性畸胎瘤剥除术后放置腹腔引流管的意义[J].苏州大学学报（医学版）,2007,27(4):664-665. 被引量：4
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引证文献41

二级引证文献196

现代妇产科进展
2014年 第9期

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