摘要
目的:探讨经阴道剖宫产术后子宫瘢痕妊娠(cesarean scar pregnancy,CSP)病灶切除手术的临床实用价值。方法:收集我院2012年9月-2013年9月收治的CSP患者6例,采用经阴道手术清除CSP病灶,观察术中出血量、术后血人绒毛膜促性腺激素(hCG)下降情况、住院时间及月经复潮情况。结果:6例手术均成功,无明显并发症,术后恢复良好,术中出血量20~50 mL,平均(28.33±11.25)mL;术后血hCG恢复正常时间为10~22 d,平均(16.83±4.21)d;住院时间为5~8 d,平均(6.50±1.05)d;月经恢复时间为26~58 d,平均(35.00±11.73)d。结论:经阴道CSP病灶切除术是一种安全经济、快速有效的治疗方法。
Objective:To evaluate the clinical value of transvaginal removal of caesarean scar pregnancy (CSP). Methods:This was a retrospective study on 6 patients with CSP enrolled from September 2012 to September 2013, 6 patients treated by transvaginal removal of caesarean scar pregnancy. Intra-operative blood loss, time required for blood hCG droping to normal, hospital stay and menstruation recovery were observed. Results:The procedure was completed in all the patients without causing complications. Intra-operative blood loss was 20-50 mL,(28.33±11.25)mL; time of blood hCG droping to normal was 10-22 d, (16.83±4.21)d;time of hospital stay was 5-8 d,(6.50±1.05 d);and time of menstruation recovery was 26-58 d,(35±11.73)d. Conclusions:Transvaginal removal of Caesarean scar pregnancy is a safe, economical, quickly and efficient procedure for patients with CSP.
出处
《国际妇产科学杂志》
CAS
2014年第4期438-440,共3页
Journal of International Obstetrics and Gynecology
关键词
妊娠
异位
剖宫产术
妇科外科手术
剖宫产瘢痕妊娠
Pregnancy,ectopic
Cesarean section
Gynecologic surgical procedures
Cesarean scar pregnancy