经阴道和经腹腔镜两种手术方式治疗外生型剖宫产瘢痕部妊娠的临床疗效  

Clinical efficacy of transvaginal and laparoscopic for the treatment of cesarean scar pregnancy

作　　者：王雪莲 张华[2] 

机构地区：[1]北京四季青医院妇产科,北京100009 [2]首都医科大学附属北京佑安医院妇幼中心,北京100069

出　　处：《中国性科学》2016年第11期123-125,共3页Chinese Journal of Human Sexuality

基　　金：北京市市民健康项目培育课题(Z131100004013039)

摘　　要：目的:研究经阴道和经腹腔镜两种手术方式治疗外生型剖宫产瘢痕部妊娠(CSP)的治疗效果。方法:选取我院2013年1月至2015年1月间CSP患者100例,随机分为研究组和对照组,研究组采用经阴道手术对患者瘢痕妊娠病灶进行切除,对照组患者采用经腹腔手术对患者瘢痕妊娠病灶实施去除,分别观察两组患者的术中出血量、手术用时、治疗总用费、住院天数、并发症、血液β-HCG恢复用时、再次月经时间及术后疼痛感比较。结果:两组患者术中出血量、手术时间、治疗总费用及住院天数比较,研究组患者在术中出血量、手术时间、治疗总费用方面都明显小于对照组(P<0.05),研究组患者在并发症、血液β-HCG恢复用时、再次月经时间方面与对照组比较无明显差异(P>0.05)。结论:研究组和对照组两种手术方法都能有效去除患者瘢痕妊娠病灶,在恢复时间和术中出血量等方面控制都比较好,但经阴道手术能够明显减少手术对患者的创伤及手术费用,临床上更适合患者使用。Objectives： To study the effect of vaginal and laparoscopic treatment on the treatment of cesarean scar pregnancy（ CSP）. Methods： 100 patients with exogenous type of CSP in our hospital from January 2013 to January 2015 were randomly divided into experimental group and control group. The experimental group received transvaginal surgery and control group received abdominal surgery. Intraoperative bleeding volume,operation time,total treatment costs,length of hospital stay,complications,blood HCG recovery,again menstruation time and postoperative aching feeling of two groups were observed. Results： Intraoperative blood loss,operation time,the total cost of hospitalization and hospital stay of experimental group were lower than these in control group,with significant differences（ P〈0. 05）. Complications,blood beta-HCG recovery time,menstruation again of two groups had no significant difference（ P〉0. 05）. Conclusion： Two kinds of surgical methods can effectively remove pregnancy scar. The recovery time and the amount of bleeding in the treatment are good. But the vaginal surgery can significantly reduce the operation trauma and surgical expenses,which is more suitable for clinical use.

关 键 词：经阴道手术 经腹腔手术 外生型瘢痕妊娠 临床疗效 

分 类 号：R719.8[医药卫生—妇产科学]