经阴式手术治疗剖宫产术后子宫瘢痕妊娠10例临床分析  

Clinical Analysis of 10 Cases of Transvaginal Surgery in the Treatment of Cesarean Scar Pregnancy

作　　者：郑少娟 

机构地区：[1]汕尾市人民医院,广东汕尾516600

出　　处：《中外医疗》2014年第9期26-27,共2页China & Foreign Medical Treatment

摘　　要：目的探讨经阴道手术治疗剖宫产术后子宫瘢痕妊娠(CSP)的临床效果。方法选择该院妇科接受阴式手术治疗子宫瘢痕妊娠的10例患者,按照超声检查结果和手术中发现的实际病情,选择不同的治疗方式,并分为A、B、C3组,并将A、B、C3组的术中出血量、操作时间和术后恢复hGG的时间和并发症情况进行比较。结果 3种手术方式都一次性成功,①在平均出血量方面,C组明显多于A、B两组,差异有统计学意义(P<0.05),术中出血量三足之间没有明显差异;②A、B、C3组患者的手术时间、医院治疗时间、术后的hGG恢复情况,差异无统计学意义(P>0.05);③A、B、C组患者没有膀胱损伤,也没有并发症。结论经阴道手术治疗CSP,治疗效果明确,操作方法便捷,子宫可以完整保留,手术操作安全经济。Objective To investigate the clinical effect of transvaginal surgery in the treatment of cesarean scar pregnancy （CSP）. Methods 10 cases of patients with cesarean scar pregnancy underwent transvaginal surgery in Department of Gynecology of our hospital were divided into group A, group B, and group C and given different treatment method in accordance with the ultrasound results and the actual conditions found during surgery. The intraoperative blood loss, operation time and postoperative recovery hGG time and complications between group A, group B, and group C were compared. Results All the three surgical methods were successful： ①the average amount of bleeding of group C was much more than that of group A and group B, with statistical significance （P〈0.05）, but there was no statistically significant difference between the three groups in intraoperative blood loss ; ② there were no statistically significant differences between group A, group B and group C in operative time, hospital treatment time, postoperative hGG recovery （P〉0.05）; ③ no bladder injury and complications occurred in the patients of group A, group B and group C. Conclusion For the treatment of CSP, transvaginal surgery is quite effective and easy to operate, which can retain the integrity of the uterus, and the operation is safe and economical.

关 键 词：阴式手术 剖宫产手术 子宫瘢痕妊娠 

分 类 号：R713[医药卫生—妇产科学]