宫腔镜在内生型剖宫产术后切口瘢痕妊娠治疗中的临床分析

发布时间：2018-05-25 22:25

本文选题：剖宫产 + 剖宫产术后切口瘢痕妊娠　；参考：《医学与哲学(B)》2015年02期

【摘要】：为了探讨宫腔镜在剖宫产术后切口瘢痕妊娠(CSP)治疗中的临床应用价值及治疗后体会,回顾性分析内生型剖宫产术后切口瘢痕妊娠患者39例,术前均应用米非司酮或加用甲氨蝶呤降低血β-HCG水平,之后在B超监测下采用宫腔镜下清宫术或病灶电切术为研究组,采用传统的负压吸宫术为对照组。对患者停经时间、术前血β-HCG值、术中出血量、手术时间、住院时间,术后血β-HCG下降正常所需时间以及月经恢复时间进行对比分析。结果所有患者手术均顺利完成,术后随访3个月,对照组术中平均出血量,血β-HCG降至正常的时间及月经恢复时间均明显高于研究组,其差异有统计学意义(P0.05)。因此在米非司酮或加用甲氨蝶呤预处理的基础上,联合B超监测,宫腔镜作为一种微创技术治疗内生型CSP患者是安全、有效的,具有非常重要的临床开展价值。
[Abstract]:In order to explore the clinical application value and experience of hysteroscopy in the treatment of incision scar pregnancy (CSP) after cesarean section, 39 cases of incisional scar pregnancy after cesarean section were retrospectively analyzed. Before operation, mifepristone or methotrexate were used to reduce serum 尾 -HCG level, then hysteroscopic hysteroscopy or focal electrotomy was used as the study group, and traditional negative pressure suction was used as the control group. The postmenopausal time, preoperative blood 尾 -HCG value, intraoperative bleeding volume, operation time, hospitalization time, the time required for the normal decline of serum 尾 -HCG and the recovery time of menstruation were compared and analyzed. Results all the patients were successfully operated. The average blood loss, the time of blood 尾 -HCG decreased to normal and the menstrual recovery time in the control group were significantly higher than those in the study group after 3 months follow-up. The difference was statistically significant (P 0.05). So on the basis of mifepristone or methotrexate pretreatment combined with B-ultrasound monitoring hysteroscopy as a minimally invasive technique in the treatment of endogenous CSP patients is safe effective and has a very important clinical value.
【作者单位】：大连大学附属中山医院妇产科;
【分类号】：R714.22

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