摘要
目的探讨两种手术方式治疗外生型剖宫产瘢痕部妊娠的临床疗效。方法选取2015年3月至2017年3月宝鸡市妇幼保健院妇科收治的64例外生型剖宫产瘢痕部妊娠患者,用随机数字表法分为研究组与对照组各32例,对照组采用腹腔镜手术去除瘢痕妊娠病灶,研究组采用经阴道手术去除瘢痕妊娠病灶,比较两组手术相关指标、住院费用、康复指标及并发症发生情况。结果研究组手术时间、术中出血量与治疗费用均远低于对照组,差异有统计学意义(P<0.05)。研究组住院时间较对照组短,月经恢复时间稍长于对照组,但差异无统计学意义(P>0.05)。研究组β-人绒毛膜促性腺激素(beta human chorionic gonadotropin,β-h CG)恢复正常时间、肛门恢复排气时间及疼痛度均低于对照组,差异有统计学意义(P<0.05)。两组并发症发生率比较差异无统计学意义(P>0.05)。结论经阴道手术与经腹腔镜手术对外生型剖宫产瘢痕部妊娠均有良好治疗效果,但经阴道手术对患者造成的创伤较小,恢复速度较快,并可减轻患者经济负担。
Objective To investigate the clinical efficacy of two surgical methods for the treatment of exogenous cesarean scar pregnancy. Methods 64 cases of patients with exogenous cesarean scar pregnancy from March 2015 to March 2017 in Baoji Maternal and Child Health Care Hospital were selected and divided into control group （ 32 cases） and research group （ 32 cases） by random number table method. The control group were treated with abdominal surgery while research group were treated with transvaginal surgery. Indexes releated to operation, hospitalization expenses, recovery and complications between the two groups were compared. Results The operative time, intraoperative blood loss and treatment cost were significantly lower in the study group than in the control group. The differences were statistically significant （P 〈0. 05）. The hospital stay was lower in the study group than in the control group, but the difference was not statistically significant （P 〉 0. 05 ）. β - hCG recovery time, anal exhaust time and pain of research group were lower than control group, the differences were statistically significant（ P 〈 0. 05 ）. There were no significant differences in the incidence of complications between the two groups （ P 〉 0.05 ）. Conclusion Abdominal surgery and transvaginal surgery both have good clinical effects in the treatment of exogenous cesarean scar pregnancy. However, vaginal surgery on the patients caused less trauma and faster recovery. It also reduce the economic burden of patients.
作者
刘妍
刘宗印
高立
薛晓玲
LIU Yan;LIU Zong - yin;GAO Li;XUE Xiao - ling(Department of Gynecology, Baoji Maternal and Child Health Care Hospital,Baoji Shaanxi 721300 ,P. R. China)
出处
《中国计划生育和妇产科》
2017年第11期47-49,62,共4页
Chinese Journal of Family Planning & Gynecotokology
