两种术式治疗剖宫产瘢痕妊娠的临床效果分析  

Analysis of clinical effects of two surgical treatments for cesarean section scar pregnancy

作　　者：杨学稳 朱立波[2] YANG Xuewen;ZHU Libo(The Third People's Hospital of Hangzhou,Hangzhou 310009,China;The First People s Hospital of Hangzhou,Hangzhou 310006,China)

机构地区：[1]杭州市第三人民医院,浙江杭州310009 [2]杭州市第一人民医院,浙江杭州310006

出　　处：《浙江医学教育》2018年第2期51-53,共3页Zhejiang Medical Education

摘　　要：目的:探讨子宫动脉灌注栓塞治疗后行刮宫术与经阴道子宫瘢痕妊娠病灶切除术加子宫修补术治疗剖宫产瘢痕妊娠的临床效果。方法:将104例剖宫产瘢痕妊娠患者按照手术方式不同分为2组,对照组采用刮宫术;观察组采用经阴道子宫瘢痕妊娠病灶切除术加子宫修补术。对比2组术中出血量、手术时间、住院时间、术后血β-HCG恢复正常的时间及治疗有效率。结果:观察组术中出血明显低于对照组(P<0.05),且术后血β-HCG恢复正常时间明显短于对照组(P<0.05),2组治疗有效率及住院时间差异无统计学意义(P>0.05)。结论:子宫动脉灌注栓塞治疗后行经阴道子宫瘢痕妊娠病灶切除术加子宫修补术治疗剖宫产瘢痕妊娠安全有效,具有出血少、术后恢复快、微创等优点。[Objective]To compare the clinical effects of curettage and vaginal uterine scar pregnancy with uterine repair in the treatment of cesarean scar pregnancy.[Method]104 cases of cesarean scar pregnancy patients according to different surgical methods were divided into two groups,control group with curettage and the observation group with vaginal uterine scar pregnancy and uterine repair.The intraoperative blood loss,operation time,hospitalization time,the decrease rate of blood betaβ-HCG and the effective rate were compared between the two groups.[Result]The intraoperative hemorrhage in the observation group was significantly lower than the control group(P<0.05).Postoperative serumβ-HCG recovery time was significantly shorter than the control group(P<0.05).the effective rate of treatment group and hospitalization time were compared and the difference was not statistically significant(P>0.05).[Conclusion]Uterine artery embolization treatment underwent transvaginal uterine scar pregnancy and uterine lesion excision repair is safe and effective,has the advantages of less bleeding,faster postoperative recovery and minimally invasive.

关 键 词：剖宫产瘢痕妊娠 子宫动脉灌注栓塞术 刮宫术 经阴道手术 

分 类 号：R713[医药卫生—妇产科学]