摘要
目的 分析阴式子宫瘢痕妊娠病灶清除术与腹式子宫瘢痕妊娠病灶清除术对剖宫产术后瘢痕妊娠患者性激素水平的影响。方法 根据手术方案差异将56例剖宫产术后瘢痕妊娠患者分为观察组(28例,阴式子宫瘢痕妊娠病灶清除术)和对照组(28例,腹式子宫瘢痕妊娠病灶清除术)。比较两组的治疗效果。结果 观察组的手术时长、术中出血量、术后卧床时长、住院时长、月经复常时间、β-绒毛膜促性腺激素(β-HCG)复常时间及不良事件总发生率均显著优于对照组(P<0.05)。治疗后,观察组的促卵泡素(FSH)、黄体生成素(LH)、雌二醇(E2)、孕酮(P)、睾酮(T)、泌乳素(PRL)水平均显著高于对照组(P<0.05)。结论 相较于腹式子宫瘢痕妊娠病灶清除术,阴式子宫瘢痕妊娠病灶清除术治疗剖宫产术后瘢痕妊娠的效果显著。
Objective To analyze the effects of trans-vaginal cesarean scar pregnancy debridement surgery and abdominal cesarean scar pregnancy debridement surgery on sex hormone levels in patients with cesarean scar pregnancy after cesarean section.Methods A total of 56 patients with cesarean scar pregnancy after cesarean section were divided into observation group(28 cases,trans-vaginal cesarean scar pregnancy debridement surgery)and control group(28 cases,abdominal cesarean scar pregnancy debridement surgery)according to the difference of operation plan.The therapeutic effects of the two groups were compared.Results The operation duration,intraoperative blood loss,postoperative bed duration,hospitalization time,menstrual recovery time,β-human chofionic gonadotropin(β-HCG)recovery time and total incidence of adverse events in the observation group were significantly better than those in the control group(P<0.05).After treatment,the levels of follicle stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E2),progesterone(P),testosterone(T)and prolactin(PRL)in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Compared with abdominal cesarean scar pregnancy debridement surgery,trans-vaginal cesarean scar pregnancy debridement surgery has significant effect in the treatment of cesarean scar pregnancy after cesarean section.
作者
王海霞
宋淑敏
WANG Haixia;SONG Shumin(Xunxian People's Hospital,Hebi 456250;Anyang Maternal and Child Health Care Hospital,Anyang 455000,China)
出处
《临床医学研究与实践》
2023年第10期32-34,共3页
Clinical Research and Practice
基金
安阳市重点研发与推广专项(安科〔2020〕14号)。
关键词
瘢痕妊娠
阴式子宫瘢痕妊娠病灶清除术
腹式子宫瘢痕妊娠病灶清除术
cesarean scar pregnancy
trans-vaginal cesarean scar pregnancy debridement surgery
abdominal cesarean scar pregnancy debridement surgery
