Clinical effects comparison of different kinds of repair operation in treatment of patients with PCSD / 中国内镜杂志

ABSTRACT

Objective To investigate the effects of repair operation by hysteroscopy combined with laparoscopy and transvaginal on menstruation time, intrauterine pregnancy rate and recurrence rate of patients with PCSD. Methods 100 patients with PCSD were chosen from January 2014 to January 2016 and divided into A group (50 patients) with repair operation by hysteroscopy and laparoscopy and B group (50 patients) with repair operation by transvaginal; the operation time, the intraoperative blood loss, the vaginal bleeding time after operation, the anal exsufflation for first time, the hospital stay, the menstruation recovery effect, the width and depth of uterine diverticulum before and after treatment, intrauterine pregnancy rate and recurrence rate with follow-up of both groups were compared. Results The operation time of B group were significantly better than A group (P < 0.05). The intraoperative blood loss, vaginal bleeding time after operation and hospital staying time of A group were significantly better than that in B group (P < 0.05). There was no significant difference in the anal exsufflation for first time between the two groups (P > 0.05). There was no significant difference in the menstruation recovery effect between the two groups (P > 0.05). The width and depth of uterine diverticulum after treatment of both groups were significantly better than that before treatment (P < 0.05). There was no significant difference in the width and depth of uterine diverticulum after treatment between the two groups (P > 0.05). There was no significant difference in the intrauterine pregnancy rate and recurrence rate between the two groups (P > 0.05). Conclusion Repair operation by hysteroscopy combined with laparoscopy and transvaginal in the treatment of patients with PCSD possess the same clinical effects; repair operation by hysteroscopy and laparoscopy can efficiently reduce the trauma degree in operation and shorten the vaginal bleeding time after operation and hospital staying time, and repair operation by transvaginal possess the advantage including more simply operation and lower operation difficulty.