摘要
目的 探讨宫腹腔镜联合手术治疗Ⅱ、Ⅲ型子宫瘢痕妊娠(CSP)的治疗效果。方法 选取Ⅱ、Ⅲ型CSP患者126例随机均分为对照组和观察组。对照组子宫动脉栓塞后行清宫术,观察组采用宫腹腔镜联合手术。比较两组围手术期情况、卵巢功能、生存质量及并发症发生率。结果 观察组术中出血量、住院时间、术后阴道流血持续时间、术后月经来潮时间、血清人绒毛膜促性腺激素β恢复正常时间、住院费用、并发症发生率均低于对照组(P<0.05)。与术前比较,术后两组促卵泡激素、黄体生成素、世界卫生组织生存质量测定量表评分升高,雌二醇降低,且观察组较对照组改善更为明显(P<0.05)。结论 宫腹腔镜联合手术治疗Ⅱ、Ⅲ型CSP可有效改善患者临床症状,提高生存质量,减少并发症,具有临床应用价值。
Aim To explore the therapeutic effect of hysteroscopy combined with laparoscopy in the treatment of typeⅡandⅢuterine scar pregnancy(CSP).Methods:126 patients with typeⅡandⅢCSP were randomly divid-ed into control group and observation group.The control group received uterine curettage after uterine artery embolization,and the observation group received combined hysteroscopy and laparoscopy.The perioperative condition,ovarian function,quality of life and complication rate were compared between the two groups.Results:The amount of intraop-erative blood loss,length of hospital stay,duration of postoperative vaginal bleeding,time of menstruation,time for serum human chorionic gonadotropinβreturn to normal level in the observation group,hospitalization expenses and the incidence of complications in the observation group were lower than those in the control group(P<0.05).Compared with those be-fore operation,the scores of follicle stimulating hormone,luteinizing hormone and World Health Organization Quality of life scale were increased and estradiol decreased in the two groups after operation,and the improvement in the observation group was more obvious than that in the control group(P<0.05).Conclusion Hysteroscopy combined with laparos-copy in the treatment of typeⅡandⅢCSP can effectively improve the clinical symptoms,improve the quality of life and reduce complications,and has clinical application value.
作者
于显博
李程程
朱萍
韩哲
赵立霞
YU Xianbo;LI Chengcheng;ZHU Ping;HAN Zhe;ZHAO Lixia(Department of Gynecology,Cangzhou People's Hospital,Cangzhou 061001,Hebei,China)
出处
《中南医学科学杂志》
CAS
2022年第5期713-715,共3页
Medical Science Journal of Central South China
基金
河北省重点研发计划项目(172777127)
沧州市科技计划项目(162302132)。
关键词
宫腔镜
腹腔镜
子宫瘢痕妊娠
卵巢功能
生存质量
hysteroscope
laparoscope
uterine scar pregnancy
ovarian function
quality of life
