宫腔镜与腹腔镜治疗内生型剖宫产瘢痕妊娠的比较

发布时间：2018-08-05 09:37

【摘要】：目的探讨宫腔镜切除术治疗内生型剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)的安全性及可行性。方法 2012年8月~2014年2月58例内生型CSP分别采用宫腔镜下切除(宫腔镜组,n=31)和腹腔镜手术(腹腔镜组,n=27),对2组术中出血量、手术时间、术后住院时间、术后宫腔引流量、术后血β-h CG恢复正常时间及月经恢复正常时间进行比较。结果宫腔镜组术中出血量(109±59)ml,明显少于腹腔镜组(143±63)ml(t=-2.121,P=0.038);手术时间(43.7±17.5)min,明显短于腹腔镜组(100.8±18.8)min(t=-11.974,P=0.000);术后住院时间(3.8±0.7)d,明显短于腹腔镜组(4.5±0.6)d(t=-4.057,P=0.000);月经恢复正常时间(43.8±3.9)d,明显短于腹腔镜组(45.9±3.8)d(t=-2.070,P=0.043)。2组术后子宫腔引流量分别为(22.1±2.8)ml和(23.6±3.2)ml,无统计学差异(t=-1.904,P=0.062)。2组血β-h CG降至正常时间分别为(20.5±7.7)d和(22.9±9.3)d,无统计学差异(t=-1.075,P=0.287)。结论宫腔镜手术治疗内生型CSP出血少、住院时间短,恢复快。
[Abstract]:Objective to investigate the safety and feasibility of hysteroscopic resection in the treatment of (cesarean scar pregniac pregnancy with cesarean scar. Methods from August 2012 to February 2014, 58 cases of endogenous CSP were treated with hysteroscopic resection (hysteroscopy group) and laparoscopic operation (laparoscopic group). Postoperative 尾-h-CG recovery time and menstrual recovery time were compared. Results the intraoperative bleeding volume in the hysteroscopy group was (109 卤59) ml, which was significantly lower than that in the laparoscopic group (143 卤63) ml (/ t -2.121g / min), the operative time was (43.7 卤17.5) minutes, which was significantly shorter than that in the laparoscopic group (100.8 卤18.8) min (/ t -11.974min), the postoperative hospital stay was (3.8 卤0.7) days, significantly shorter than that in the laparoscopic group (4.5 卤0.6) d (/ t) -4.057P0.000, and the menstrual cycle recovery time (43.8 卤3.9d) was significantly shorter than that in the laparoscopic group (45.9 卤3.8) d (/ t laparoscopy-2.070P0.043 / 2). The postoperative uterine cavity drainage volume was (22.1 卤2.8) ml and (23.6 卤3.2) ml, respectively. There was no significant difference (t ~ (-1.904) P ~ (0.062). The blood 尾 -h CG decreased to normal time of (20.5 卤7.7) d and (22.9 卤9.3) d in group 2, and there was no significant difference (t -1.075P ~ (0.287). Conclusion hysteroscopic surgery for endogenetic CSP with less bleeding, shorter hospital stay and faster recovery.
【作者单位】：宁波市妇女儿童医院妇产科;
【基金】：浙江省医药卫生科技项目(项目编号:2014KYB358)
【分类号】：R713.8

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