外生型剖宫产术后瘢痕妊娠患者的微创手术疗效研究

发布时间：2018-04-21 11:04

本文选题：外生型剖宫产术后 + 瘢痕妊娠　；参考：《中国内镜杂志》2015年06期

【摘要】：目的探讨外生型剖宫产术后瘢痕妊娠患者的微创手术疗效,为该类患者的微创应用提供可参考依据。方法共纳入80例该院外生型剖宫产术后瘢痕妊娠患者作为研究对象,采用随机数字法平均分为观察组与对照组两组,分别给予腹腔镜微创治疗及宫腔镜微创治疗,观察患者手术过程中失血量、手术时间、月经复潮时间及病灶完全消失时间等,比较两组的差异及术后不良反应。结果 40例宫腔镜患者中1例因术中出血量较大转开腹手术切除治疗,术后7例患者复查彩超示有明显病灶,成功率为82.5%。40例腹腔镜患者均顺利完成手术,术后复查无明显病灶,成功率100.0%。两组成功率比较差异有显著性(P0.05)。观察组患者术中出血量、术后引流量、住院时间、血清β-h C G正常时间、月经复潮时间及病灶完全消失时间均明显低于对照组患者,两组间比较差异有显著性(P0.05)。术后观察组患者C R P水平低于对照组患者,差异有显著性(P0.05)。结论腹腔镜微创治疗对外生型剖宫产术后瘢痕妊娠患者创伤小、恢复快,对瘢痕子宫的修复有更好的疗效。
[Abstract]:Objective to investigate the effect of minimally invasive operation on scar pregnancy after cesarean section, and to provide reference for minimally invasive application. Methods A total of 80 patients with scar pregnancy after cesarean section were randomly divided into two groups: observation group and control group. They were treated with laparoscopic minimally invasive therapy and hysteroscopic minimally invasive treatment respectively. The blood loss, operation time, menorrhagia time and the time of complete disappearance of the lesion were observed. The difference and adverse reaction after operation were compared between the two groups. Results among 40 patients with hysteroscopy, 1 case was converted to open operation because of the large amount of blood loss during the operation, and 7 cases were examined by color Doppler ultrasonography after operation. The success rate was 82.5% and 40 cases of laparoscopy successfully completed the operation, but there was no obvious lesion after operation. The success rate was 100.0%. There was a significant difference in the success rate between the two groups (P 0.05). The amount of blood loss, postoperative drainage, hospitalization time, normal time of serum 尾 -hCG, menorrhagia time and the time of complete disappearance of lesions in the observation group were significantly lower than those in the control group. There was a significant difference between the two groups (P 0.05). The level of C R P in the observation group was significantly lower than that in the control group (P 0.05). Conclusion Laparoscopic minimally invasive treatment of scar pregnancy after external cesarean section has a better effect on scar uterus repair.
【作者单位】：温州医科大学附属第一医院妇科;
【基金】：温州市科技计划基金资助项目(N o:Y 20140102)
【分类号】：R713.8

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