不同手术方式应用于子宫瘢痕妊娠效果及对患者术后生活质量的影响

发布时间：2018-04-05 04:27

本文选题：腹腔镜　切入点：病灶切除术　出处：《实用妇科内分泌杂志(电子版)》2016年10期

【摘要】：目的探讨临床上使用不同手术方式应用于子宫瘢痕妊娠效果及对患者术后生活质量的影响。方法选取对2014年7月-2015年7月我院收治的患者120例的临床资料进行回顾性研究。按照随机分配的原则将其分为观察组和对照组,并保持这两组患者的数量一致。对观察组患者采用腹腔镜联合动脉栓塞术患者进行子宫瘢痕的治疗,对对照组患者采用经阴道子宫瘢痕妊娠病灶切除术进行治疗,之后对比两组患者的治疗效果以及患者是否有膀胱粘连等状况的发生。结果两组患者虽然使用不同的手术方式进行瘢痕子宫的治疗,但都取得了非常良好的治疗效果,患者的手术过程均具有出血量小、创伤小和恢复快的特点,二者相比在疗效上并没有显著的差异(P0.05);观察组患者并没有患者出现显著的并发症,而对照组患者有患者7例出现了不同程度的盆腔粘连状况,对患者的膀胱造成重大威胁,二者相比差异具有显著性(P0.05)。结论腹腔镜联合动脉栓塞术对患者的子宫瘢痕状况进行治疗的效果显著,较其他手术方法来说,不仅效果显著且不会出现明显的并发症,其生活质量的提升程度更高,此方法可以作为临床上此类疾病治疗的首选方式。
[Abstract]:Objective to investigate the effect of different surgical methods on the pregnancy of uterine scar and the quality of life (QOL) after operation.Methods the clinical data of 120 patients admitted to our hospital from July 2014 to July 2015 were retrospectively studied.According to the principle of random distribution, they were divided into observation group and control group, and maintained the same number of patients in both groups.The patients in the observation group were treated with laparoscopy combined with arterial embolization for the treatment of uterine scar, and the control group were treated with transvaginal uterine scar pregnancy focus resection.After that, we compared the curative effect of the two groups and the occurrence of bladder adhesion.Results although the two groups used different surgical methods for the treatment of scar uterus, they both achieved very good results. The surgical procedures of the two groups were characterized by less bleeding, less trauma and quick recovery.There was no significant difference in the curative effect between the two groups (P 0.05). There were no significant complications in the patients in the observation group, while in the control group, there were 7 patients with pelvic adhesion of varying degrees, which posed a great threat to the bladder of the patients.There was significant difference between the two groups (P 0.05).Conclusion Laparoscopic combined arterial embolization is an effective method for the treatment of uterine scar in patients. Compared with other surgical methods, it not only has significant effect and no obvious complications, but also has a higher degree of improvement of quality of life.This method can be used as the first choice for the treatment of these diseases.
【作者单位】：河北省曲阳县人民医院;
【分类号】：R713.8

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