Abstract：Objective To investigate the efficacy of laparoscopic repair with hysteroscopy and hysteroscopic niche resection in the treatment of post-cesarean scar diverticulum. Methods From January 2016 to November 2018, 42 cases with post-cesarean scar diverticulum in the Affiliated Changzhou NO.2 People′s Hospital of Nanjing Medical University were selected. According to the surgical methods, they were divided into the hysteroscopic niche resection group and the laparoscopic repair with hysteroscopy group, with 21 cases in each group. The hysteroscopic niche resection group was performed simple hysteroscopic niche resection, while the laparoscopic repair with hysteroscopy group was performed laparoscopic repair with hysteroscopy. The operation time, intraoperatve blood loss, hospital stay length and hospital expenses and postoperative pregnancy were compared between two groups. Results The operation time, intraoperatve blood loss, hospital stay length, hospital expenses of the hysteroscopic niche resection group were lower than those of the laparoscopic repair with hysteroscopy group, and the differences were statistically significant (P < 0.05 or P < 0.01). There was no significant difference in the clinical effect at 1 month after surgery between two groups (P > 0.05). The clinical effect at 3 and 6 months after surgery of the laparoscopic repair with hysteroscopy group were higher than those of the hysteroscopic niche resection group, and the differences were statistically significant (P < 0.05). Postoperative pregnancy of the laparoscopic repair with hysteroscopy group were higher than those of the hysteroscopic niche resection group. Conclusion Both surgical methods have achieved certain clinical effect in the treatment of post-cesarean scar diverticulum.The laparoscopic repair with hysteroscopy of PCSD is safer and more effective, has more satisfactory menstrual recovery, should widely use to treat patients with PCSD.
孙慧婷 鞠华妹 刘素芬 虞嘉俊 施如霞 陈莉萍▲. 宫腹腔镜联合修复术与宫腔镜定位电切术在治疗子宫切口瘢痕憩室中的效果评价[J]. 中国医药导报, 2019, 16(36): 96-99.
SUN Huiting JU Huamei LIU Sufen YU Jiajun SHI Ruxia CHEN Liping▲. Effect evaluation of hysteroscopic niche resection and laparoscopic repair with hysteroscopy in the treatment of post-cesarean scar diverticulum. 中国医药导报, 2019, 16(36): 96-99.
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2019, Vol. 16 
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