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| Analysis of Influencing Factors of Hysteroscopy Combined with Laparoscopy in the Treatment of Cesarean Scar Diverticulum |
| PEI Yi-ming, LIU Run-ping |
| Department of Clinical Laboratory,The First People's Hospital of Xianyang,Xianyang Shaanxi,712000 |
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Abstract 【Objective】To explore the influencing factors of hysteroscopy combined with laparoscopy in the treatment of cesarean scar diverticulum. 【Methods】A total of 96 patients with cesarean scar diverticulum who underwent hysteroscopy combined with laparoscopy in The First People's Hospital of Xianyang from April to November 2019 were selected. Six months after operation,they were divided into poor recovery group and good recovery group according to their recovery. The clinical data of body mass index,pregnancy times,hemoglobin (HB),white blood cell (WBC),albumin (ALB) and other levels were compared between the two groups.Multivariate logistic regression was used to analyze the influencing factors of surgical treatment of cesarean scar diverticulum.【Results】 At 6 months after operation,23 cases (23.96%) with diverticulum were found by B-ultrasonography,and were included in the poor recovery group; 73 patients (76.04%) without diverticulum were included in the good recovery group. The body mass index,the number of cesarean section,the depth of diverticulum and the proportion of posterior uterus in the poor recovery group were significantly higher than those in the good recovery group,and the level of Hb was lower than that in the good recovery group (P<0.05); However,there was no significant difference between the two groups in terms of age,history of abortion,times of pregnancy,time from operation to the last cesarean section,thickness of adjacent myometrium,WBC and ALB levels (P>0.05). Multivariate logistic regression analysis showed that the number of cesarean sections (OR=1.134,95%CI=1.086~1.184),uterine position (OR=1.845,95%CI=1.264~2.693),diverticulum depth (OR=1.645,95%CI=1.184~2.285) and Hb level (OR=1.421,95%CI=1.117~1.808) were independent influencing factors on the efficacy of hysteroscopic combined with laparoscopic surgery for cesarean scar diverticulum (P<0.05). 【Conclusion】The frequency of cesarean section,uterine position,diverticulum depth and Hb level are the independent influencing factors of hysteroscopy combined with laparoscopy in the treatment of cesarean scar diverticulum,which should be paid attention to clinically.
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Received: 15 December 2021
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2022, Vol. 39 
