腹腔镜与宫腔镜治疗子宫疤痕妊娠患者临床疗效、相关时间指标及生活质量的影响  

Clinical Effects, Related Time Indicators and Quality of Life in Patients with Uterine Scar Pregnancy Treated by Laparoscopy and Hysteroscopy

作　　者：严雪文 YAN Xue-wen(Department of Obstetrics and Gynecology, Bo'ai Hospital, Zhongshan, Guangdong Province, 528400 China)

机构地区：[1]中山市博爱医院妇产科,广东中山528400

出　　处：《中外医疗》2019年第7期47-50,共4页China & Foreign Medical Treatment

摘　　要：目的探究腹腔镜和宫腔镜用于子宫疤痕妊娠治疗中对临床疗效、相关时间指标及生活质量的影响。方法方便选取该院2016年1月—2018年1月收治的96例子宫疤痕妊娠患者作为研究对象,将行宫腔镜手术治疗者设作A组(48例),行腹腔镜手术治疗者设作B组(48例),比较两组术后3个月子宫下段疤痕面积、相关时间指标、术后并发症及生活质量。结果 B组术后3个月子宫下段疤痕面积(0.76±0.06)cm2较A组显著小(t=45.338 6,P<0.01);A组手术时间(17.54±3.53)min及住院时间(6.11±0.66)d均短于B组(t=33.871 6、17.255 5,P<0.01),但A、B组术后血β-HCG正常时间比较差异无统计学意义(t=0.445 8,P>0.01);A组并发症总发生率与B组相比显著低(χ~2=7.144 2,P<0.01);A组躯体疼痛(82.35±3.16)分等生活质量各项评分均较B组高(t=18.798 4、19.791 6、19.489 7、16.691 7,P<0.01)。结论子宫疤痕妊娠经宫腔镜手术治疗后,术后并发症少、住院时间短且术后生活质量较高,但腹腔镜手术治疗后子宫下段疤痕面积可显著缩小,二者各均优势,可依据患者具体情况行术式选择。Objective To investigate the effects of laparoscopic and hysteroscopy on clinical outcomes, related time indicators and quality of life in the treatment of uterine scar pregnancy. Methods 96 patients with uterine scar pregnancy who were admitted from January 2016 to January 2018 were convenient enrolled in the study. Patients who underwent hysteroscopic surgery were assigned to group A(n=48), and those who underwent laparoscopic surgery were assigned to group B(48 cases), the scar area, relevant time index, postoperative complications and quality of life of the lower uterus were compared 3 months after operation. Results The area of scar in the lower uterus of group B was significantly lower than that of group A at 3 months after operation(t=45.338 6,P<0.01). The operation time of group A(17.54±3.53) min and hospitalization time(6.11±0.66)d were shorter than group B(t=33.871 6, 17.255 5,P<0.01), but the normal time of blood β-HCG in group A and group B was not significantly different(t=0.445 8,P>0.01);group A was concurrent overall incidence of symptoms was significantly lower than that of group B(χ^2=7.144 2,P<0.01). The scores of life quality of group A(82.35±3.16)points were higher than those of group B(t=18.798 4, 19.791 6, 19.481 7, 16.691 7,P<0.01). Conclusion After hysteroscopic surgery for uterine scar pregnancy, the postoperative complications are small, the hospital stay is short, and the quality of postoperative life is high. However, the area of scar in the lower uterus after laparoscopic surgery can be significantly reduced, both of which have advantages. The procedure can be selected according to the specific conditions of the patient.

关 键 词：腹腔镜 宫腔镜 子宫疤痕妊娠 临床疗效 生活质量 

分 类 号：R719.8[医药卫生—妇产科学]