经阴道与经腹腔镜治疗外生型剖宫产瘢痕妊娠临床疗效分析

发布时间：2018-02-25 17:20

本文关键词： 剖宫产瘢痕妊娠经阴道子宫瘢痕妊娠病灶切除术腹腔镜　出处：《中国实用妇科与产科杂志》2015年06期 　论文类型：期刊论文

【摘要】：目的探讨经阴道和经腹腔镜两种手术方式治疗外生型剖宫产瘢痕部妊娠(CSP)的临床疗效。方法回顾性分析郑州大学第二附属医院2012年6月至2014年7月间经手术治疗的63例外生型CSP患者的临床资料,其中35例经阴式手术治疗(A组),28例经腹腔镜下手术治疗(B组)。比较两组的手术时间、术中出血量、术后住院时间、住院费用、术后并发症、术后β-HCG下降情况及月经恢复时间。结果 63例手术均成功。两组患者年龄、孕次、剖宫产次数、停经时间、术前血β-HCG值、病灶大小、距末次剖宫产时间差异无统计学意义(P0.05);A组的手术时间及术中出血量明显少于B组(P0.05);术后住院时间、血β-HCG降至正常时间及月经恢复时间两组差异无统计学意义(P0.05);A组的住院费用明显低于B组(P0.05)。结论阴式和腹腔镜两种术式均能完整清除外生型CSP病灶,创伤小、恢复快、安全可行、疗效确切;有经阴道手术指征者经阴手术较经腹腔镜手术更快捷、更微创、更易行,且费用低、并发症少、不需要昂贵器械,值得临床推广应用。
[Abstract]:Objective to evaluate the value of transvaginal and the two operation methods of laparoscopic treatment of exogenous cesarean scar pregnancy (CSP) patients. Methods a retrospective analysis of clinical data of the Second Affiliated Hospital of Zhengzhou University from June 2012 to July 2014 after surgical treatment of 63 cases of type CSP patients, transvaginal surgery in the treatment of 35 cases (A group), laparoscopic surgery in 28 cases (B group). The operation time of two groups were compared, the amount of bleeding, postoperative hospitalization time, cost of hospitalization, postoperative complications, postoperative -HCG decreased and menstruation recovery time. Results 63 cases of operation were successful. The two groups were age, pregnant times and the number of cesarean section, menopause, preoperative serum -HCG value, tumor size, cesarean section from the last time there was no statistically significant difference (P0.05); A group the operative time and intraoperative blood loss was significantly less than in group B (P0.05); hospitalization time after operation, serum -HCG decreased to normal time and There was no significant difference between the two groups (P0.05); menstrual recovery time of hospitalization expenses of A group was significantly lower than B group (P0.05). Conclusion transvaginal laparoscopic surgery and two were to complete the removal of exogenous CSP lesions, small trauma, quick recovery, safe and feasible, have curative effect; Transvaginal Surgery indications transvaginal laparoscopic surgery is more efficient, more convenient, less invasive, less complications and low cost, and does not require expensive equipment, it is worthy of clinical application.

【作者单位】：郑州大学第二附属医院;
【分类号】：R714.22

【共引文献】