宫腔镜与阴式手术联合切除子宫切口疤痕处妊娠病灶的临床研究  

Clinical Study of Hysteroscopy Combined with Vaginal Surgery for the Removal of Pregnancy Lesions at Uterine Incision Scar

作　　者：梁海健 LIANG Haijian(Department of Gynecology,Sanshui District Maternal and Child Health Hospital,Foshan,Guangdong,528100)

机构地区：[1]佛山市三水区妇幼保健院妇科,广东佛山528100

出　　处：《智慧健康》2022年第17期41-44,共4页Smart Healthcare

摘　　要：目的探讨对子宫切口疤痕处妊娠患者实施宫腔镜与阴式手术联合切除治疗的临床效果。方法采用随机数字表法将2020年1月-2021年1月佛山市三水区妇幼保健院产科收治的子宫疤痕妊娠患者60例分为对照组、观察组各30例,分别给予其清宫术、宫腔镜与阴式手术联合切除治疗,对比组间患者出血量、手术时间、住院时间、月经恢复时间、血β-HCG水平正常时间。结果观察组患者的出血量少于对照组,组间对比差异显著(P<0.05);观察组患者的手术时间、住院时间短于对照组,组间对比差异显著(P<0.05);观察组患者的月经恢复时间、血β-HCG水平正常时间均短于对照组,组间对比差异显著(P<0.05)。结论采用宫腔镜与阴式手术联合切除对子宫切口疤痕处妊娠病灶进行治疗,可获得较为理想的手术效果,可促进其康复,具有较高应用价值,建议在临床上推广应用。Objective To investigate the clinical effect of hysteroscopy combined with vaginal surgery for pregnancy with uterine incision scar.Methods Using random number table method,60 cases of uterine scar pregnancy patients admitted to the department of obstetrics in our hospital from January 2020 to January 2021 were divided into control group and observation group,30 cases in each group.They were treated with uterine clearance,hysteroscopy and vaginal surgery combined resection respectively.The amount of blood loss,operation time,length of hospital stay,menstrual recovery time and normal time of bloodβ-HCG level were compared between groups.Results The amount of blood loss in observation group was less than control group,the difference between groups was significant(P<0.05);The operation time and hospitalization time of observation group were shorter than those of control group,and the difference between groups was significant(P<0.05);The menstrual recovery time and normal time of bloodβ-HCG level in observation group were shorter than those in control group,and the difference between groups was significant(P<0.05).Conclusion Combined hysteroscopy and vaginal surgery for the treatment of pregnancy lesions in the scar of the uterine incision can obtain relatively ideal surgical effect and promote its rehabilitation,which has high application value and is recommended for clinical application.

关 键 词：宫腔镜 阴式手术 微创 子宫切口疤痕处妊娠 病灶 切除 

分 类 号：R714.22[医药卫生—妇产科学]