摘要
目的:探讨阴式剖宫产瘢痕妊娠病灶切除术及子宫瘢痕修补术治疗子宫瘢痕妊娠的临床应用价值。方法:回顾性分析笔者所在医院2014年4月-2018年6月行阴式剖宫产瘢痕妊娠病灶切除术及子宫瘢痕修补术的28例患者的临床资料。结果:除1例因病灶直径太大改开腹手术,以及另1例因切口位置高无法缝合改腹腔镜下缝合外,其余26例均手术顺利。手术时间平均(64.46±21.99)min,术中出血量平均(176.33±73.04)ml,下床活动时间平均(8.37±1.04)h,术后住院天数平均(5.08±0.84)d,住院费用平均(7 263.22±1 650.11)元,术后血β-h CG恢复正常时间平均(16±5)d,月经复潮时间平均(30.46±6.05)d。结论:阴式剖宫产瘢痕妊娠病灶切除术及子宫瘢痕修补术是一种安全、有效、微创、经济的治疗方法,值得临床应用推广。
Objective:To explore the clinical value of vaginal cesarean scar pregnancy focus resection and uterine scar repair in the treatment of uterine scar pregnancy.Method:The clinical data of 28 patients who underwent vaginal cesarean scar pregnancy focus resection and uterine scar repair from April 2014 to June 2018 were retrospectively analyzed.Result:Except for one case who underwent laparotomy because of the focal diameter was too large and one case who could not be sutured because of the high incision position,all the other 26 cases were successfully operated.The average operation time was(64.46±21.99)min,the average amount of bleeding during the operation was(176.33±73.04)ml,the average time of getting out of bed was(8.37±1.04)h,the average hospitalization days were(5.08±0.84)d,the average hospitalization cost was(7 263.22±1 650.11)yuan,and the average time of recovering blood β-hCG after the operation were(16±5)d.The average time of menstruation were(30.46±6.05)d.Conclusion:Vaginal cesarean scar pregnancy focus resection and uterine scar repair is a safe,effective,minimally invasive and economical treatment method,which is worthy of clinical application and promotion.
作者
李励军
林力华
方福珍
池慧娟
LI Lijun;LIN Lihua;FANG Fuzhen(Putian University Affiliated Hospital,Putian 351100,China)
出处
《中外医学研究》
2019年第11期147-149,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
福建省自然科学基金资助项目(项目编号:2015J01510)
