探讨宫腔镜在剖宫产瘢痕妊娠和宫颈妊娠治疗中的应用价值  

Application value investigation of hysteroscope in the treatment of cesarean scar pregnancy and cervical pregnancy

作　　者：周劲 ZHOU Jin(Xinyi People＇s Hospital of Guangdong Province,Xinyi 525300,China)

机构地区：[1]广东省信宜市人民医院,525300

出　　处：《中国现代药物应用》2018年第19期23-24,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨宫腔镜在剖宫产瘢痕妊娠和宫颈妊娠治疗中的应用价值。方法 60例剖宫产瘢痕妊娠和宫颈妊娠患者,遵循随机数字表法分为试验组与对照组,各30例。两组均采用常规药物治疗,在此基础上,对照组采用清宫术治疗,试验组采用宫腔镜治疗。对比两组临床疗效、并发症发生情况以及平均子宫恢复时间。结果试验组临床总有效率为96.67%,显著高于对照组的73.33%,差异具有统计学意义(P<0.05);试验组并发症发生率为3.33%,显著低于对照组的23.33%,差异具有统计学意义(P<0.05);试验组平均子宫恢复时间为(20.06±4.25)d,短于对照组的(36.98±7.26)d,差异具有统计学意义(P<0.05)。结论剖宫产瘢痕妊娠和宫颈妊娠患者采用宫腔镜治疗,可促进子宫恢复正常,效果显著,值得临床借鉴。Objective To investigate the application value of hysteroscope in the treatment of cesarean scar pregnancy and cervical pregnancy. Methods A total of 60 patients with cesarean scar pregnancy and cervical pregnancy were divided into experimental group and control group according to the random number table method, 30 cases in each group. The two groups were treated with conventional drugs, on this basis, the control group received complete curettage of uterine cavity for treatment, the experimental group received hysteroscopic treatment. The clinical efficacy, occurrence of complications and mean uterine recovery time between the two groups were compared. Results The total effective rate of the experimental group was 96.67%, which was significantly higher than 73.33% of the control group, the difference was statistically significant（P〈0.05）. The incidence of complications in the experimental group was 3.33%, which was significantly lower than 23.33% in the control group, the difference was statistically significant（P〈0.05）. The mean uterine recovery time in the experimental group was（20.06±4.25） d, which was significantly shorter than（36.98±7.26） d in the control group, the difference was statistically significant（P〈0.05）. Conclusion Cesarean scar pregnancy and cervical pregnancy patients with hysteroscopic treatment can promote the recovery of the uterus to normal, the effect is significant, and is worthy of clinical reference.

关 键 词：宫腔镜 剖宫产 瘢痕妊娠 宫颈妊娠 应用价值 

分 类 号：R714.22[医药卫生—妇产科学]