摘要
目的探讨宫腔镜手术在早期内生型剖宫产术后子宫瘢痕妊娠(CSP)中的应用效果。方法选取62例早期内生型CSP患者,随机分为试验组和对照组,每组31例。对照组采用药物+常规清宫术治疗,试验组采用宫腔镜瘢痕妊娠清除术治疗,比较两组手术的最终成功率、手术时间、术中出血量、术后住院时间、血β-人绒毛膜促性腺激素(β-HCG)复常时间、月经恢复时间及术后并发症发生情况。结果试验组最终成功率96.77%高于对照组的80.65%,手术时间、术后住院时间、β-HCG复常时间、月经恢复时间均短于对照组,出血量少于对照组,手术并发症发生率低于对照组(P<0.05)。结论在早期内生型CSP患者的临床治疗中,宫腔镜手术的疗效确切,且损伤小,并发症发生率,有助于促进患者恢复,具有较好的应用效果。
Objective To investigate and analyze the application effect of hysteroscopic surgery in uterine cicatricial pregnancy(CSP)after early endogenous cesarean section.Methods 62 patients with early endogenous CSP were randomly divided into test group and control group,with 31 cases in each group.The control group was treated with drugs+conventional uterine clearance,and the experimental group was treated with hysteroscopic scar removal of pregnancy.The final success rate,operation time,intraoperative blood loss,postoperative hospital stay,bloodβ-HCG restoration time,menstrual recovery time and postoperative complications of the two groups were compared.Results The final success rate of the experimental group was 96.77%higher than that of the control group(80.65%),the operation time,postoperative hospital stay,β-HCG recovery time and menstrual recovery time were shorter than those of the control group,the blood loss was less than that of the control group,and the incidence of surgical complications was lower than that of the control group(P<0.05).Conclusion In the clinical treatment of early endogenous CSP patients,hysteroscopic surgery has a definite effect,small injury and complication rate,which helps to promote the recovery of patients,and has a good application effect.
作者
夏叶红
Xia Yehong(Department of Obstetrics and Gynecology,Dongting Branch,Xishan People's Hospital,Wuxi 214100,China)
出处
《实用妇科内分泌电子杂志》
2024年第16期17-19,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
子宫瘢痕妊娠
剖宫产
宫腔镜瘢痕妊娠清除术
清宫术
临床效果
Uterine scar pregnancy
Caesarean section
Hysteroscopic removal of scar pregnancy
Palace clearing
Clinical effect
