ObjectiveTo investigate the clinical effect of hysteroscopy combined with laparoscopic folding suture in the treatment of cesarean scar diverticulum.

MethodsThe clinical of 68 patients with uterine diverticulum were analyzed. Among them, 36 cases underwent hysteroscopy combined with laparoscopic folding suture were set as observation group, and 32 cases undergoing hysteroscopy combined with laparoscopic incision suture were set as control group. The intraoperative blood loss, operation time, postoperative complications, and postoperative efficacy of patients in the two groups were compared.

ResultsThe intraoperative blood loss in the observation group was significantly lower than that in the control group, and the operation time was significantly shorter than that in the control group, and the differences were statistically significant (P < 0.05). The postoperative menstrual days in the two groups were shorter than those before surgery, and the differences were statistically significant (P < 0.05). The incidence of postoperative complications in the observation group was 8.33%, which was lower than that of 31.25% in the control group, and the difference was statistically significant (P < 0.05). The postoperative effective rates of the two groups were 91.7% and 87.5%, respectively, but the difference was not statistically significant (P>0.05).

ConclusionsThe two surgery methods are effective for the treatment of cesarean scar diverticulum, and hysteroscopy combined with laparoscopic folding suture has better clinical efficacy with less intraoperative bleeding, shorter operation time, fewer postoperative complications, and preserving the integrity of the uterine muscle layer, which is especially suitable for older patients with urgent fertility requirements.