阴道子宫瘢痕妊娠病灶切除术临床效果及术后恢复情况分析  

Study on the effect of transvaginal lesion resection of uterus cesarean scar pregnancy and postoperative recovery of patients

作　　者：赵倩 李全香[1] 杨娜[1] ZHAO Qian;LI Quanxiang;YANG Na(Baoding Maternal and Child Health Care Hospital, Hebei Province, 071000)

机构地区：[1]河北省保定市妇幼保健院,071000

出　　处：《中国计划生育学杂志》2022年第1期60-62,66,共4页Chinese Journal of Family Planning

摘　　要：目的:探究阴道子宫瘢痕妊娠病灶切除术治疗效果及术后恢复情况。方法:选取2018年3月-2020年1月于本院就诊的剖宫产瘢痕妊娠患者120例,随机数字表法将其分为两组各60例,分别采用常规经腹子宫瘢痕妊娠病灶切除术治疗(开腹组)或阴道子宫瘢痕妊娠病灶切除术治疗(观察组)。比较两组手术相关指标、术后恢复指标和术后并发症情况。结果:观察组手术成功率(98.3%)高于开腹组(86.7%),手术时间(43.4±17.6min)、术中出血量(54.3±26.1ml)、住院时间(5.4±1.3d)均小于开腹组(P<0.05),术后月经恢复正常时间(44.2±6.2d)、病灶缩小时间(34.1±5.3d)均低于开腹组,血清绒毛膜促性腺激素(β-hCG)在术后1d、3d、5d、10d的下降率均高于开腹组,术后并发症(8.3%)低于开腹组(23.3%)(均P<0.05)。结论:阴道子宫瘢痕妊娠病灶切除术可优化手术进程,提高手术成功率、缩短术后恢复时间,有效降低并发症发生率。Objective:To analyze the effect of transvaginal lesion resection of uterus cesarean scar pregnancy,and to study the postoperative recovery of patients.Methods:120 patients with cesarean scar pregnancy(CSP)were selected and randomly divided into two groups(60 cases in each group)from March 2018 to January 2020.The patients in the control group were given conventional transabdominal lesion resection and the patients in the observation group were given transvaginal lesion resection.The values of surgery-related indicators,postoperative recovery-related indicators,and the incidence of postoperative complications rate of the patients were compared between the two groups.Results:The operative success rate(98.3%)of the patients in the observation group was significant higher than that(86.7%)of the patients in the control group.The operative time(43.4±17.6min),intraoperative blood loss(54.3±26.1 mL),and hospital stay(5.4±1.3 days)of the patients in the observation group were all significant lower than those of the patients in the control group(P<0.05).The time of menstruation return to normal(44.2±6.2d)and the time of lesion reduction(34.1±5.3d)of the patients in the observation group were all significant shorter than those of the patients in the control group,but the decrease rate of serum chorionic gonadotropin(β-hCG)in 1d,3d,5d,and 10d after operation of the patients in the observation group were all significant higher than those of the patients in the control group.The postoperative complications rate(8.3%)of the patients in the observation group was significant lower than that(23.3%)of the patients in the control group(P<0.05).Conclusion:Transvaginal lesion resection of cesarean scar pregnancy for treating the patients with scar pregnancy can optimize the surgical process,increase the operation success rate,shorten the postoperative recovery time,and can effectively reduce the incidence rate of complications.

关 键 词：剖宫产瘢痕妊娠 阴道子宫瘢痕妊娠病灶切除术 手术指标 术后恢复 绒毛膜促性腺激素 

分 类 号：R71[医药卫生—妇产科学]