经阴道子宫瘢痕妊娠病灶切除术的临床应用分析  

Clinical application analysis of transvaginal uterine scar pregnancy resection

作　　者：冯杨 Feng Yang(Yongchuan Hospital affiliated to Chongqing Medical University,Chongqing 402160,China)

机构地区：[1]重庆医科大学附属永川医院

出　　处：《实用妇科内分泌电子杂志》2019年第27期4-4,9,共2页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的针对经阴道子宫瘢痕妊娠病灶切除术的治疗,对其临床应用的效果给出对比分析。方法选择M医院的116例剖宫产术后子宫瘢痕妊娠患者,分两组对其实施不同手术,每组人数为各为58,A组实施腹腔镜手术,B组实施经阴道子宫瘢痕妊娠病灶切除术,并对两组的治疗效果进行对比。结果B组的手术时间与住院费用明显比A组低,手术出血量与住院时间不存在明显差异。治疗前A组与B组的血β-人绒毛促性腺激素水平相差不大,治疗后患者血β-hCG水平均出现了明显下降,术后总并发症概率较低。结论临床上采用阴道子宫瘢痕妊娠病灶切除术,手术过程操作简单,并且能够缩短住院时间,降低患者的经济负担,建议广泛应用。Objective The clinical effects of transvaginal hysterectomy for scar pregnancy lesions were compared and analyzed.Methods 116 patients with uterine scar pregnancy after cesarean section in M hospital were selected,the patients were divided into two groups for different operations,with 58 patients in each group.Laparoscopic surgery was performed in group A and transvaginal scar pregnancy lesion resection was performed in group B,and the therapeutic effects of the two groups were compared.Results The operation time and hospitalization cost of group B were significantly lower than that of group A,and there was no significant difference between the operation blood loss and hospitalization time.Before treatment,the blood levels of human villus gonadotropin in group A and group B were not significantly different.After treatment,blood levels of human villus gonadotropin in group A and group B were significantly decreased,and the probability of total postoperative complications was relatively low.Conclusion Clinically,vaginal hysterectomy for scar pregnancy lesions is easy to operate,and can shorten the length of hospital stay and reduce the financial burden of patients,so it is recommended to be widely used.

关 键 词：剖宫产 子宫瘢痕妊娠 病灶切除术 

分 类 号：R714[医药卫生—妇产科学]