摘要
目的探讨经阴道切除剖宫产疤痕妊娠病灶的临床效果。方法抽取2011年2月—2017年3月60例剖宫产疤痕妊娠患者,运用随机数字表法将其分为对照组(n=30)与治疗组(n=30),对照组患者予以甲氨蝶呤联合超声检测的方式进行治疗,治疗组患者予以经阴道子宫疤痕妊娠病灶切除的方式进行治疗,观察两组患者的手术情况、术后恢复情况与临床治疗效果。结果治疗组的手术时间、术中出血量、并发症、血β-h CG转阴时间、月经复潮时间、住院时间、住院费用与临床治疗总有效率分别为(37.24±6.93)min、(37.28±12.91)ml、0.00%、(15.03±6.37)d、(36.04±9.63)d、(4.82±1.81)d、(3097.28±1634.31)元与93.33%,对照组分别为(28.15±11.68)min、(86.14±14.03)ml、16.67%、(26.24±6.87)d、(50.28±9.08)d、(10.37±2.31)d、(4537.82±2495.34)元与63.33%,二者差异具有统计学意义(P<0.05)。结论经阴道切除剖宫产疤痕妊娠病灶具有显著效果,将有效的提升患者的治愈率与预后质量,具有较高的临床推广价值。
Objective To investigate the clinical effect of transvaginal cesarean scar pregnancy. Methods 60 pregnant women with cesarean scar pregnancy from February 2011 to March 2017 were selected and divided into control group （n = 30） and treatment group （n = 30） by randomly number table method. Patients in the control group were treated with methotrexate combined with ultrasonography. Patients in the treatment group were treated with excision of the vaginal uterine scar pregnancy, and the operation conditions, postoperative recovery and clinical outcomes of the two groups were observed. Results The operation time, intraoperative blood loss, complications, blood β-hCG negative time, menstruation recuperation time, hospitalization time, hospitalization cost and clinical treatment total effective rate were （37.24±6.93） min, （37.28±12.91） ml, 0.00%, （15.03±6.37） d, （36.04±9.63） d, （4.82±1.81） d, （3097.28 ± 1634.31）yuan and 93.33%, The control group were （28.15±11.68） min, （86.14±14.03） ml, 16.67%, （26.24±6.87） d, （50.28±9.08） d, （10.37±2.31） d, （4537.82±2495.34）yuan and 63.33%, The difference between the two groups was statistically significant（P〈0.05）. Conclusion Transvaginal cesarean scar pregnancy pregnancy has a significant effect, which will effectively improve the cure rate and prognosis of patients with high clinical value.
出处
《中国卫生标准管理》
2017年第28期46-48,共3页
China Health Standard Management
关键词
经阴道切除
剖宫产疤痕
剖宫产
临床效果
transvaginal excision
cesarean scar
cesarean section
clinical effect
