宫腔镜下清宫术治疗剖宫产疤痕妊娠的Meta分析

发布时间：2018-04-05 00:35

  本文选题：剖宫产疤痕妊娠　切入点：B超　出处：《广西医科大学》2017年硕士论文

【摘要】：目的:评价宫腔镜介导下清宫术治疗剖宫产疤痕妊娠(cesarean scar pregnancy,CSP)的治疗效果。方法:通过检索PubMed、CNKI、维普中文科技期刊数据库和万方数据库,纳入有关宫腔镜介导下清宫术(观察组)及B超引导下清宫术(对照组)治疗剖宫产疤痕妊娠的临床研究,评价纳入研究的偏倚风险,并使用Revman5.3软件对纳入研究所提取数据进行Meta分析。结果:共纳入5项研究,含282例病例。Meta分析结果显示:观察组的手术时间、住院天数、术后血HCG恢复时间及月经恢复天数均短于对照组,观察组的术中出血量明显少于对照组,z(u)检验提示有统计学意义(P≤0.05)。结论:当患者生命征平稳、妊娠囊向宫内生长及其种植部位肌层厚度2mm时,选用宫腔镜介导下清宫术治疗剖宫产疤痕妊娠是有效的。
[Abstract]:Objective: to evaluate the effect of hysteroscopy on cesarean scar pregnancyn (CSP) in the treatment of cesarean scar pregnancy.Methods: through searching the CNKI database, Weipu Chinese scientific and technological journal database and Wanfang database, we included the clinical study of hysteroscopy mediated hysteroscopy (observation group) and B-ultrasound guided uterine cleaning (control group) in the treatment of cesarean scar pregnancy.The bias risk of inclusion study was evaluated and Meta analysis was performed using Revman5.3 software.Results: a total of 5 studies were included, including 282 cases. Meta-analysis showed that the operation time, hospital stay, postoperative HCG recovery time and menstrual recovery time in the observation group were shorter than those in the control group.The amount of intraoperative bleeding in the observation group was significantly less than that in the control group (P 鈮，

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