两种手术方式治疗剖宫产切口瘢痕妊娠的疗效分析  

Analysis of curative effect by two surgical methods in the treatment of cesarean scar pregnancy

作　　者：顾双[1] 徐杨[1] 李芳[1] 

机构地区：[1]沈阳市第四人民医院,110031

出　　处：《中国实用医药》2016年第4期15-16,共2页China Practical Medicine

摘　　要：目的分析比较宫腔镜电切术及经阴道手术治疗剖宫产切口瘢痕妊娠的临床疗效。方法 31例内生型剖宫产切口瘢痕妊娠患者,根据手术方式分为阴式手术组14例及宫腔镜组17例,两组术前均给予氨甲喋呤。比较两组手术时间、术中出血量、血人绒毛膜促性腺激素(HCG)转阴时间、术后住院时间、住院费用情况。结果两组平均手术时间、平均术中出血量、平均术后住院时间比较,宫腔镜组优于阴式手术组,差异有统计学意义(P<0.05),而血HCG转阴时间及平均住院费用两组比较,差异无统计学意义(P>0.05)。结论宫腔镜手术联合氨甲喋呤治疗内生型剖宫产切口瘢痕妊娠有一定优势,值得推广应用。Objective To analyze and compare clinical effects by hysteroscopic electrocision and transvaginal surgery in the treatment of cesarean scar pregnancy. Methods A total of 31 patients with endogenetic cesarean scar pregnancy were divided by surgical ways into transvaginal surgery group with 14 cases and hysteroscope group with 17 cases. Both groups received methotrexate before operation. Comparisons were made on operation time, intraoperative bleeding volume, human chorionic gonadotropin （HCG） clearance time, postoperative hospital stay time and hospitalization cost between the two groups. Results The hysteroscope group had all better average operation time, average intraoperative bleeding volume, average postoperative hospital stay time than the transvaginal surgery group, and the difference had statistical significance （P〈0.05）. There was no statistically significant difference of HCG clearance time and average hospitalization cost between the two groups （P〉0.05）. Conclusion Hysteroscopic surgery combined with methotrexate contains adyantages in treating endogenetic cesarean scar pregnancy, and it is worthy of promotion and application.

关 键 词：经阴式组织清除术 宫腔镜电切 瘢痕妊娠 剖宫产 

分 类 号：R713.8[医药卫生—妇产科学]