【摘要】 目的 对比宫腹腔镜联合手术与阴式手术在治疗剖宫产术后子宫瘢痕憩室中的临床效果。方法 选取2016年2月～2018年6月收治的90例剖宫产术后子宫瘢痕憩室患者，将所有患者随机分为两组，各45例。对照组行阴式手术治疗，观察组行宫腹腔镜联合手术治疗，对比两组临床疗效及手术情况。结果 两组临床疗效及住院时间比较差异无统计学意义(P>0.05)，观察组手术时间、排气时间长于对照组，且住院费用高于对照组，手术出血量少于对照组，差异有统计学意义(P<0.05)。结论 宫腹腔镜联合手术与阴式手术治疗剖宫产术后子宫瘢痕憩室的临床疗效相当，但前者出血量少，后者具有手术时间短、费用低、患者术后恢复快等优势。

    【关键词】 宫腔镜;腹腔镜;阴式手术;剖宫产;子宫瘢痕憩室

    中图分类号：R719.8 文献标志码：A DOI：10.3969/j.issn.10031383.2019.02.012

    【Abstract】 Objective To compare the clinical effects of hysteroscopy combined with laparoscopy and vaginal surgery for uterine scar diverticulum after cesarean section.Methods 90 patients with uterine scar diverticulum after cesarean section admitted to hospital from February 2016 to February 2018 were enrolled in the study.All patients were randomly divided into two groups ......