宫腔镜手术治疗内生型剖宫产瘢痕妊娠34例临床分析

发布时间：2019-03-21 13:52

【摘要】：目的探讨宫腔镜治疗内生型剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)的临床应用价值。方法 2012年4月~2014年10月,对34例内生型CSP采用宫腔镜手术治疗,其中7例行宫腔镜下清宫术,27例行子宫动脉栓塞后宫腔镜下清宫术,术后定期复查血β-h CG及B超。结果 34例CSP均1次手术成功。手术时间(17.5±3.5)min,术中出血量(17.5±7.5)ml,总住院时间4~5 d,均未出现严重并发症,术后28天内血β-h CG均下降至正常,2个月内月经复潮。结论宫腔镜手术治疗CSP具有可视性好,出血少,操作简单,成功率高,术后并发症少,住院时间短等优点,值得在临床上推广。
[Abstract]:Objective to evaluate the clinical value of hysteroscopy in the treatment of scar pregnancy (cesarean scar pregnancy,CSP with endogenous cesarean section. Methods from April 2012 to October 2014, 34 cases of endogenous CSP were treated by hysteroscopic surgery. Among them, 7 cases underwent hysteroscopic hysterectomy, 27 cases underwent hysteroscopic hysterectomy after uterine artery embolization, and the blood 尾-h CG and B-ultrasound were reexamined regularly after operation. Results all 34 cases of CSP were operated successfully once. The duration of operation was (17.5 卤3.5) min, the total hospitalization time of (17.5 卤7.5) ml, was 4 days, there were no serious complications, the blood 尾-h CG decreased to normal within 28 days after operation, and menstruation resumed within 2 months. Conclusion hysteroscopic surgery has the advantages of good visibility, less bleeding, simple operation, high success rate, less postoperative complications and shorter hospitalization time. It is worth popularizing in clinical practice. [WT5 "HZ] conclusion [WT5" BZ] [WT5 "BZ]
【作者单位】： 广东省清远市人民医院妇科;
【分类号】：R713.8

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