摘要
目的探究宫腔镜结合介入治疗对瘢痕妊娠的效果,并分析患者术后康复结果.方法选取该院2019年1月—2020年10月收治的98例瘢痕妊娠患者为研究对象,以随机数字表法分为对照组、观察组,每组49例.对照组采用宫腔镜电切术治疗,观察组采用宫腔镜电切术联合双侧子宫动脉栓塞术治疗,比较两组的住院时间、阴道出血停止时间、月经恢复时间、血人绒毛促性腺激素(HCG)恢复正常时间、超敏C反应蛋白(hs-CRP)、降钙素原(PCT)水平及并发症发生率.结果观察组的住院时间、阴道出血停止时间、月经恢复时间、血人绒毛促性腺激素恢复正常时间均短于对照组,组间差异有统计学意义(P<0.05).术前,两组患者的hs-CRP、PCT水平比较,组间差异无统计学意义(P>0.05);术后1个月,观察组的hs-CRP、PCT水平均低于对照组,组间差异有统计学意义(P<0.05).观察组的术后并发症发生率为2.04%,略低于对照组的8.16%,但组间比较,差异无统计学意义(P>0.05).结论瘢痕妊娠患者采用宫腔镜结合介入治疗,可缩短病程,减轻炎症反应水平,降低并发症发生率,效果显著.
Objective To explore the effect of hysteroscopy combined with interventional treatment of scar pregnancy and analyze the postoperative rehabilitation results of patients.Methods A total of 98 patients with scar pregnancy admitted to the hospital from January 2019 to October 2020 were selected as the research objects,and were divided into a control group and an observation group by random number table method,with 49 cases in each group.The control group was treated with hysteroscopic resection,and the observation group was treated with hysteroscopic resection combined with bilateral uterine artery embolization.The length of hospital stay,stop time of vaginal bleeding,recovery time of menstruation,human chorionic gonadotrop(HCG)recovery time,levels of hypersensitive C-reactive protein(hs-CRP),procalcitonin(PCT)and incidence of complications of the two groups was compared.Results The length of hospitalization,the stopping time of vaginal bleeding,the recovery time of menstruation and the normal time of HCG in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before surgery,there were no significant differences in hs-CRP and PCT levels between the two groups(P>0.05);1 month after surgery,the hs-CRP and PCT levels in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 2.04%,slightly lower than 8.16%in the control group,but there was no significant difference between the two groups(P>0.05).Conclusion Hysteroscopy combined with interventional treatment of scar pregnancy can shorten the course of disease,reduce the level of inflammatory response,and reduce the incidence of complications,with significant effect.
作者
宋庆恩
SONG Qingen(Department of Gynecology,Jinxiang County People's Hospital,Jining Shandong,272200,China)
出处
《反射疗法与康复医学》
2021年第21期115-117,共3页
Reflexology And Rehabilitation Medicine
关键词
瘢痕妊娠
宫腔镜
介入治疗
Scar pregnancy
Hysteroscopy
Interventional therapy
