摘要
目的探讨宫腔镜结合B超治疗胎盘植入的手术方法,观察治疗效果,为临床实践提供参考资料。方法一共选择68例胎盘植入患者作为临床研究对象,并将其随机划分为手术治疗组与保守治疗组,每组人数均等各34例,组间可比性充分。根据分组,对手术治疗组患者采取宫腔镜结合B超手术进行治疗,对保守治疗组患者给予米非司酮和甲氨蝶呤进行药物治疗。结果手手术治疗组患者的治疗效果比保守治疗组更加优秀,手术治疗组患者3个月月经恢复正常率与B超转阴率全部都为100%,而保守治疗组3个月月经恢复正常率仅为70.58%(24例),B超转阴率仅为67.64%(23例)。手术治疗组患者血HCG1个月内的转阴率为100%,保守治疗组仅为82.35%(28例),3个月后才达到100%。结论对胎盘植入患者采取宫腔镜结合B超手术进行治疗,可以取得更加快速、更加有效的治疗效果,值得加强临床推广与实践。
Objective To study the protocal and effect of hysteroscopy combined with ultrasonography on placenta implantation surgery and to provide reference for clinical practice. Methods 68 cases undergoing placenta accreta were selected and randomly divided into surgery group and conservative treatment group. There were all comparable 34 cases in each group. patients in the operation treatment group were done with hysteroscopy combined with B ultrasound surgery treatment and patients in the conservative treatment group were given mifepristone and methotrexate drug treatment. Results The treatment effect in surgical treatment group was better than that in the conservative treatment group. The menstrual recovery rate and B ultrasound negative rate were all 100%in the surgical treatment group after 3 months while the menstruation recovery rate was only 70.58%in conservative treatment group （24 cases）, and B ultrasound negative rate is only 67.64% （23 cases）. Negative rate of HCG1 in the surgical treatment group within three months was 100%. while it was only 82.35%and reach to 100%after 3 months in the conservative treatment group （28 cases）. Conclusion If patients undergoing placenta accreta were treated with hysteroscopy combined with B ultrasound surgery, they can achieve more rapid, more effective therapeutic effect. It is worth to be done in the clinic practice.
出处
《新疆医学》
2015年第9期1263-1265,共3页
Xinjiang Medical Journal
关键词
宫腔镜结合B超手术
保守治疗
胎盘植入
治疗效果
Hysteroscopy combined with B
ultrasonic
operation conservative treatment placenta
implantation treatment effect
