摘要
目的分析宫腔镜手术治疗剖宫产术后子宫瘢痕妊娠(CSP)患者的临床效果及对并发症发生情况的影响。方法选择2019年4月至2021年4月于我院接受诊治的80例CSP患者作为研究对象,根据随机数字表法将其分为对照组和研究组,各40例。对照组接受子宫动脉栓塞术+传统清宫手术,研究组接受子宫动脉栓塞术+宫腔镜手术。比较两组的临床效果。结果研究组的术后持续出血时间、腹痛持续时间、术后住院时间、人类绒毛膜促性腺激素(HCG)转阴时间、月经周期恢复时间短于对照组(P<0.05)。治疗前及治疗2个月后,两组的促黄体生成素(LH)、促卵泡成熟激素(FSH)和抗苗勒氏管激素(AMH)水平比较,差异无统计学意义(P>0.05)。研究组的并发症总发生率低于对照组(P<0.05)。治疗2个月后,研究组的白细胞分化抗原4阳性(CD4^(+))、白细胞分化抗原4阳性/白细胞分化抗原8阳性(CD4^(+)/CD8^(+))高于对照组,白细胞分化抗原8阳性(CD8^(+))低于对照组(P<0.05)。结论宫腔镜手术治疗剖宫产术后CSP患者的临床效果显著,能够缩短患者恢复时间,对卵巢功能无影响,且对免疫功能影响较小,可降低并发症发生率,值得临床推广和应用。
Objective To analyze the clinical effect of hysteroscopic surgery in the treatment of patients with cesarean scar pregnancy(CSP)after cesarean section and its influence on the incidence of complications.Methods A total of 80 CSP patients who were treated in our hospital from April 2019 to April 2021 were selected as the research objects.According to the random number table method,the patients were divided into control group and study group,with 40 cases in each group.The control group received uterine artery embolization+traditional uterine curettage,and the study group received uterine artery embolization+hysteroscopic surgery.The clinical effects of the two groups were compared.Results The postoperative continuous bleeding time,abdominal pain duration,postoperative hospitalization time,human chorionic gonadotropin(HCG)negative conversion time and menstrual cycle recovery time of the study group were shorter than those of the control group(P<0.05).Before treatment and 2 months after treatment,there were no significant differences in the levels of luteinizing hormone(LH),follicle-stimulating hormone(FSH)and anti-mullerian hormone(AMH)between the two groups(P>0.05).The total incidence of complications in the study group was lower than that in the control group(P<0.05).At 2 months after treatment,the cluster of differentiation 4 positive(CD4^(+))and cluster of differentiation 4 positive/cluster of differentiation 8 positive(CD4^(+)/CD8^(+))in the study group were higher than those in the control group,and the cluster of differentiation 8 positive(CD8^(+))was lower than that in the control group(P<0.05).Conclusion Hysteroscopic surgery has a significant clinical effect in the treatment of CSP patients after cesarean section.It can shorten the recovery time of patients,has no effect on ovarian function and less effect on immune function,and reduce the incidence of complications.It is worthy of clinical promotion and application.
作者
孙优优
常聪
刘艳文
SUN Youyou;CHANG Cong;LIU Yanwen(the First People's Hospital of Shangqiu,Shangqiu 476100,China)
出处
《临床医学研究与实践》
2023年第31期58-61,共4页
Clinical Research and Practice
关键词
子宫瘢痕妊娠
剖宫产
宫腔镜手术
子宫动脉栓塞术
cesarean scar pregnancy
cesarean section
hysteroscopic surgery
uterine artery embolization
