宫腔镜手术治疗剖宫产术后子宫瘢痕妊娠的临床疗效分析  

Clinical Analysis of Hysteroscopic Surgery for Cesarean Scar Pregnancy

作　　者：于亚梅[1] 

机构地区：[1]如东县中医院妇产科,江苏如东226400

出　　处：《医学综述》2013年第19期3635-3636,共2页Medical Recapitulate

摘　　要：目的探讨宫腔镜手术治疗剖宫产术后子宫瘢痕妊娠的临床疗效。方法选取2007年1月至2011年12月在如东县中医院妇产科住院治疗的剖宫产术后子宫瘢痕妊娠患者72例,采用完全随机法分为观察组和对照组各36例,观察并比较两组患者的术中及术后恢复情况和患者的满意度。结果观察组的手术时间、术中出血量和住院时间均低于对照组,两组间比较差异均有统计学意义(t=10.2975,16.6587,4.9614,P<0.05),观察组患者的术后人绒毛膜促性腺激素降至正常时间和术后月经来潮时间较对照组更短(t=19.2804,14.9550,P<0.05)。观察组的总体满意度为91.67%,显著高于对照组的72.22%(χ2=4.60,P=0.032)。结论宫腔镜手术治疗剖宫产术后子宫瘢痕妊娠具有手术操作简单、能有效防止大出血、术后患者恢复快等优点。Objective To evaluate the clinical efficacy of hysteroscopic surgery for Cesarean scar preg- nancy. Methods Seventy-two eases of Cesarean scar pregnancy patients treated in Chinese Medicine Hospi- tal of Rudong County from January 2007 to December 2011 Were randomly divided into hysteroscopy group and control group. The surgery and postoperative recovery, patients＇ satisfaction of the two groups were observed and compared. Results The surgery time, blood loss and hospital stay of laparoscopy group were lower than the control group,and the difference between the two groups was statistically significant （t = 10.2975, 16. 6587,4. 9614,P 〈 0.05 ）. The patients＇ B-HCG dropping to normal time and postoperative menstrual cramps of hysteroscopy group were shorter than the control group （ t = 19. 2804,14. 9550, P 〈 0.05 ）. The overall satisfaction rate of hysteroscopy group was 91.67% ,much higher than the 72.22% of control group （ 2 = 4.60,P =0. 032）. Conclusion Hysteroscopic surgery for Cesarean sear pregnancy has the advanta- ges of simple operation,effective prevention from hleeding,and quick postoperative recovery.

关 键 词：子宫瘢痕妊娠 剖宫产 宫腔镜 

分 类 号：R713.8[医药卫生—妇产科学]