阴式子宫切口瘢痕妊娠病灶清除术治疗剖宫产切口瘢痕妊娠的效果分析  

Effect Analysis of Vaginal Uterine Incision Scar Pregnancy Lesion Removal in Treatment of Cesarean Incision Scar Pregnancy

作　　者：刘程燕 吴玉环 Liu Cheng-yan;Wu Yu-huan(Department of Obstetrics and Gynecology,Chengwu Hospital Affiliated to Shandong First Medical University(Chengwu County People's Hospital),Heze 274200,Shandong Province,China)

机构地区：[1]山东第一医科大学附属成武医院(成武县人民医院)妇产科,山东菏泽274200

出　　处：《中国社区医师》2023年第7期35-37,共3页Chinese Community Doctors

摘　　要：目的:探讨阴式子宫切口瘢痕妊娠病灶清除术治疗剖宫产切口瘢痕妊娠的效果。方法:选取2020年3月—2022年3月山东第一医科大学附属成武医院收治的62例剖宫产切口瘢痕妊娠患者作为研究对象,按照随机序贯综合平衡法分为观察组与对照组,各31例。对照组给予甲氨蝶呤结合超声引导下清宫术,观察组给予阴式子宫切口瘢痕妊娠病灶清除术。比较两组治疗效果、手术指标、并发症发生情况、治疗满意度。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。观察组术中出血量低于对照组,手术时间、人绒毛膜促性腺激素恢复时间、月经来潮时间、住院时间均短于对照组,差异有统计学意义(P<0.001)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组治疗满意度高于对照组,差异有统计学意义(P<0.05)。结论:在剖宫产切口瘢痕妊娠治疗中实施阴式子宫切口瘢痕妊娠病灶清除术可提升治疗效果,减少术中出血量,加快患者身体恢复,降低并发症发生率,提高治疗满意度。Objective:To explore the effect of vaginal uterine incision scar pregnancy lesion removal in the treatment of cesarean incision scar pregnancy.Methods:A total of 62 patients with cesarean incision scar pregnancy treated in Chengwu Hospital Affiliated to Shandong First Medical University from March 2020 to March 2022 were selected as the study subjects.They were divided into the control group and the observation group according to the random sequence comprehensive balance method,with 31 cases in each group.The control group was treated with methotrexate combined with ultrasound-guided uterine evacuation,and the observation group was treated with vaginal uterine incision scar pregnancy lesion removal.The treatment effect,surgical index,complication rate and treatment satisfaction were compared between the two groups.Results:The overall effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss in the observation group was lower than that in the control group,and the operation time,human chorionic gonadotropin recovery time,menstrual onset time,and length of hospital stay in the observation group were all shorter than those in the control group,and the differences were statistically significant(P<0.001).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The treatment satisfaction rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of vaginal uterine incision scar pregnancy lesion removal in the treatment of cesarean incision scar pregnancy can improve the treatment effect,reduce the intraoperative blood loss,speed up the recovery of the patient's body,reduce the incidence of complications,and improve the treatment satisfaction.

关 键 词：阴式子宫切口 瘢痕妊娠 剖宫产 

分 类 号：R713.8[医药卫生—妇产科学]