摘要
目的对剖宫产切口疤痕妊娠应用阴式子宫切口疤痕妊娠病灶清除术所取得的效果进行分析,探究阴式子宫切口疤痕妊娠病灶清除术在临床中的可行性以及应用价值。方法将2016年1月1日—2018年1月1日于我院产科收治的剖宫产切口疤痕妊娠(CSP)患者作为研究对象,参照组10例患者应用甲氨蝶呤+超声引导下清宫术治疗,实验组10例患者接受阴式子宫切口疤痕妊娠病灶清除术,了解两组患者的应用效果。结果在术中出血量、平均手术时间、住院时间、血HCG水平恢复时间的对比之中,实验组各项指标均明显优于参照组,组间对比差异有统计学意义(P<0.05)。在术后的不良反应发生率的对比之中,实验组不良反应发生率为10.0%,参照组不良反应发生率为50.0%,实验组患者不良反应发生率均明显低于参照组,组间对比差异有统计学意义(P<0.05)。结论阴式子宫切口疤痕妊娠病灶清除术为新式微创CSP手术治疗方案,和甲氨蝶呤+超声引导下清宫术治疗相比,可有效的减少患者术中出血量,缩短患者的住院时间,降低不良反应。
Objective To analyze the effect of cicatricial debridement of scar pregnancy with vaginal incision in cesarean section, and to explore the clinical feasibility and application value of the scavenging of scar pregnancy in the vaginal incision. Methods The patients with scar pregnancy（CSP） who underwent cesarean section from January 1, 2016 to January 1, 2018 in our hospital were selected as research subjects. 10 patients in the reference group were treated with methotrexate ＋ ultrasound guided hysterectomy, and 10 patients in the experimental group were treated with scavenging lesions of the vaginal incision scar pregnancy, and the effect of the application was analyzed. Results In the comparison of the amount of bleeding, the average operation time, the time of hospitalization and the recovery time of the blood HCG level, the indexes of the experimental group were obviously superior to those of the reference group, and there was a significant difference between the groups（P〈 0.05）.In the comparison of the incidence of adverse reactions after operation, the incidence of adverse reactions in the experimental group was 10%, and the incidence of adverse reactions in the reference group was 50%. The incidence of adverse reactions in the experimental group was significantly lower than that in the reference group, and there was a significant difference between the groups（P〈 0.05）. Conclusion The scavenging of the vaginal incision scar pregnancy is a new minimally invasive CSP treatment scheme.Compared with the methotrexate ＋ ultrasound guided hysterectomy, it can effectively reduce the amount of bleeding in the patients, shorten the patient＇s time of hospitalization and reduce the adverse reaction.
作者
李伟
LI Wei(Department of Obstetrics and Gynecolog;Caoxian Maternal and Child Health Care Family Planning Center,Caoxian Shandong 274400,China)
出处
《中国继续医学教育》
2018年第19期85-87,共3页
China Continuing Medical Education
