摘要
目的探讨宫腔镜在剖宫产瘢痕妊娠(CSP)患者诊疗中的应用效果。方法回顾性分析2016年3月~2018年10月我院收治的24例剖宫产子宫瘢痕妊娠患者的临床资料,根据治疗方式的不同分为两组,对照组(n=20)应用药物+B超引导清宫术治疗,研究组(n=4)应用子宫动脉栓塞+宫腔镜术治疗。观察比较两组患者的术中出血量、手术时间、术后β-绒毛膜促性腺激素(β-HCG)的水平及月经、β-HCG水平恢复正常所需时间。结果研究组患者的术中出血量少于对照组,手术时间短于对照组,差异有统计学意义(P<0.05)。研究组患者的术后β-HCG水平低于对照组,月经、β-HCG水平恢复正常时间均短于对照组,差异有统计学意义(P<0.05)。结论宫腔镜较超声检查可以更加清晰地显示患者病灶及其周围情况;与此同时,在宫腔镜辅助下能减少患者在手术过程中的出血量,缩短患者的手术时间及恢复时间,宫腔镜在CSP患者的临床诊断及治疗过程当中都具有十分积极的指导意义。
Objective To investigate the effect of hysteroscopy in the diagnosis and treatment of patients with cesarean scar pregnancy(CSP).Methods The clinical data of twenty-four patients with CSP admitted to our hospital from March to October 2018 were analysised,they were divided into two groups according to the different treatment.The control group(n=20)was treated with drug+ultrasound-guided curettage,and the study group(n=4)was treated with uterine artery embolization+hysteroscopic treatment.The intraoperative blood loss and operation time of the two groups of CSP patients were observed and compared.The levels ofβ-chorionic gonadotropin(β-HCG)and the time required for menses andβ-HCG levels to return to normal were compared between the two groups.Results The intraoperative blood loss of the study group was less than that of the control group,and the operation time was shorter than that of the control group,the differences were statistically significant(P<0.05).The level of postoperativeβ-HCG in the study group was lower than that in the control group.The recovery time of menstruation andβ-HCG level were shorter than those of control group,and the differences were statistically significant(P<0.05).Conclusion Hysteroscopy can more clearly show the patients′lesions and its surroundings than ultrasound.Simultaneously,hysteroscopy can reduce the amount of bleeding during surgery and shorten the operation time and recovery time of patients.Hysteroscopy plays a positive guidance in the clinical diagnosis and treatment of CSP pregnancy.
作者
周婷婷
ZHOU Ting-ting(Department of Obstetrics and Gynecology,Shanwei People′s Hospital,Guangdong Province,Shanwei516600,China)
出处
《中国当代医药》
2020年第7期139-141,共3页
China Modern Medicine
关键词
宫腔镜
清宫术
子宫瘢痕妊娠
子宫动脉栓塞
Hysteroscopy
Curettage
Uterine scar pregnancy
Uterine artery embolization
