宫腹腔镜联合与清宫术治疗子宫瘢痕妊娠的疗效对比分析

发布时间：2018-04-09 08:52

本文选题：宫腹腔镜　切入点：清宫术　出处：《中国计划生育和妇产科》2016年12期

【摘要】：目的探讨宫腹腔镜联合与清宫术治疗子宫瘢痕妊娠(cesarean scar pregnancy,CSP)的疗效。方法选取2013年8月至2015年10月四川省妇幼保健院61例CSP患者,根据不同治疗方案分为两组,采用宫腹腔镜手术联合治疗的31例为研究组,采用宫腔镜下清宫术治疗的30例为对照组,观察两组患者手术基本情况(成功率、手术时间、手术失血量、膨宫液使用量、住院时间),随访患者3月,对比两组术后恢复情况[(阴道流血时间、月经恢复时间、血β-人绒毛膜促性腺激素(human chorionic gonadotropin,β-HCG)恢复正常时间]。结果研究组手术成功率(100%)显著高于对照组(66.67%),差异有统计学意义(P0.05);研究组手术时间[(74.59±13.61)min]、手术失血量[(69.52±17.48)m L]、住院时间[(6.21±1.03)d]均显著少于对照组[(115.24±27.45)min、(90.41±20.53)m L、(9.14±1.27)d],差异有统计学意义(P0.05);研究组阴道流血时间[(16.34±3.12)d]、月经恢复时间[(30.69±4.73)d]、血β-HCG恢复正常时间[(21.32±7.14)d]均显著少于对照组[(24.57±8.26)d、(41.72±8.15)d、(33.65±12.09)d],差异有统计学意义(P0.05)。结论宫腹腔镜联合治疗CSP疗效显著,与清宫术相比,手术时间更短、失血量更少、术后恢复更快。
[Abstract]:Objective to evaluate the efficacy of hysteroscopy combined with hysteroscopy in the treatment of cicatricial pregnancy with cesarean scar pregnancyn (CSP).Methods from August 2013 to October 2015, 61 patients with CSP in Sichuan Maternal and Child Health Hospital were divided into two groups according to different treatment schemes.30 cases treated by hysteroscopy were treated as control group. The patients were followed up for 3 months (success rate, time of operation, amount of blood loss, amount of dilatation fluid, hospital stay).The recovery time of vaginal bleeding, menorrhagia and serum 尾 -human chorionic gonadotropin (尾 -HCG) were compared between the two groups.The vaginal bleeding time [16.34 卤3.12 days], menstrual recovery time [30.69 卤4.73 days], blood 尾 -HCG recovery time [21.32 卤7.14 days] were significantly lower than those in the control group [24.57 卤8.26 days, 33.65 卤12.09 days]. The difference was statistically significant (P 0.05).Conclusion combined hysteroscopy and laparoscopy are effective in the treatment of CSP. Compared with hysteroscopy, the operation time is shorter, the amount of blood loss is less, and the postoperative recovery is faster.
【作者单位】：四川省妇幼保健院·四川省妇女儿童医院手术室;
【分类号】：R713.8

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