摘要
目的探讨剖宫产术后子宫瘢痕妊娠治疗方法。方法选取本院妇产科2015年1月~2016年1月接收治疗的60例剖宫产后瘢痕妊娠患者为研究对象,按照治疗方法不同进行分组。将接受药物保守治疗后宫腔镜电切除术的30例瘢痕妊娠患者作为对照组,将接受经阴道子宫瘢痕妊娠病灶切除术的另外30例瘢痕妊娠患者作为观察组,比较两组瘢痕妊娠患者的临床治疗效果。结果观察组30例瘢痕妊娠患者中。痊愈26例,好转4例,无效0例,总有效率100.0%。对照组30例瘢痕妊娠患者中,痊愈15例,好转10例,无效5例,治疗有效率83.3%。由此可见,观察组瘢痕妊娠患者的临床效果要显著于对照组瘢痕妊娠患者的临床效果,并且差异有统计学意义(P<0.05);观察组患者的术中出血量、手术时间、术后住院恢复时间、血B-h CG水平降至正常时间、治疗费用均明显低于对照组,两组瘢痕妊娠患者的术中出血量差异有统计学意义(P<0.05);观察组30例瘢痕妊娠患者中,只有1例患者出现了并发症,表现为感染,并发症发生率3.3%(1/30)。对照组患者中,有3例患者出现了并发症,2例表现为感染,还有1例表现为出血量过多,并发症发生率10.0%(3/30),两组瘢痕妊娠患者的并发症发生比较差异有统计学意义(χ~2=3.99,P<0.05)。结论对剖宫产后出现瘢痕妊娠患者行经阴道子宫瘢痕妊娠病灶切除术,能够帮助患者减少术中出血量,缩短手术时间以及术后住院时间,降低并发症发生几率,提高瘢痕妊娠患者的生活质量。
Objective To explore the treatment method of uterine scar pregnancy after cesarean section. Methods 60 patients with scar pregnancy after cesarean section were selected and divided into groups according to the intention of scar pregnancy and their relatives. 30 patients in control group were treated with scar pregnancy underwent hysteroscopic electrosurgical excision followed by conservative treatment. The other 30 patients with scar pregnancy in observation group were treated with transvaginal hysterectomy. The scar pregnancy treatment effects of the two groups were compared. Results Among the 30 cases of scar pregnancy patients in observation group, there were 26 cases recovered, 4 cases improved, 0 cases of invalid, and the total effective rate of 100.0%. Among the 30 cases of scar pregnancy in control group, 15 cases were cured, 10 cases improved, 5 cases were invalid, and the treatment effective rate was 83.3% （P 〈 0.05）. It could be seen that the clinical effect of scar pregnancy patients in the observation group was significantly higher than that in the control group, and the difference was statistically significant （P 〈 0.05）. The bleeding volume, operation time, postoperative hospital recovery time, postoperative hospital stay in patients with scar pregnancy rate in observation group were significantly higher than those in the control group （P 〈 0.05）. In the 30 cases of scar pregnancy in observation group, o Only 1 patients had complications, and the rate of complication was 3.3% （1/30）. In the control group, 3 patients had complications, 2 showed infection, 1 showed excessive bleeding, the incidence of complications was 10.0% （3/30）. The scar pregnancy complications between the two groups were significant （Х^2=3.99, P 〈 0.05）. Conclusion The procedure of transvaginal hysterectomy can reduce the amount of blood loss, shorten the operation time and postoperative hospital stay, reduce the incidence of complications, and improve the life quality of patients with scar pregna
出处
《中国医药科学》
2017年第6期67-70,共4页
China Medicine And Pharmacy
关键词
瘢痕妊娠
剖宫产后
经阴道子宫疤痕妊娠病灶切除术
药物保守
宫腔镜
Scar pregnancy
Cesarean section
Transvaginal uterine scar pregnancy resection
Drug conservative
Hysteroscopy
