研究剖宫产术后瘢痕部位妊娠治疗方式的选择  

To study the choice of pregnancy treatment for scar site after cesarean section

作　　者：余智 颜华英 韩旭[3] Yu Zhi;Yan Huaying;Han Xu(Department of Obstetrics,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Department of Ultrasound,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Department of Obstetrics,Sichuan Maternal and Child Health Hospital,Chengdu 610041,China)

机构地区：[1]成都中医药大学附属医院产科,四川成都610075 [2]成都中医药大学附属医院超声科,四川成都610075 [3]四川省妇幼保健院产科,四川成都610041

出　　处：《实用妇科内分泌电子杂志》2022年第32期8-10,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究剖宫产术后瘢痕部位妊娠治疗方式的选择。方法选取64例剖宫产术后瘢痕妊娠患者,根据手术方式不同分为对照组与试验组,每组32例。对照组患者实行常规人流清宫术,试验组患者实行超声引导下清宫术。比较两组患者手术相关各项指标、恢复情况及治疗效果。结果对照组患者手术时间、术中出血量、住院时间分别为(42.39±2.45)min、(80.38±7.24)ml、(8.61±1.56)d,试验组患者分别为(33.49±2.41)min、(54.71±9.87)ml、(4.39±1.87)d,试验组手术时间、住院时间均短于对照组,术中出血量少于对照组(P<0.05)。对照组患者月经恢复时间、血β-人绒毛膜促性腺激素(β-HCG)降低时间、包块消失时间分别为(43.07±5.21)、(46.38±9.96)、(70.31±4.57)d,试验组分别为(35.58±2.72)、(24.71±9.15)、(18.39±8.52)d,试验组月经恢复时间、血β-HCG降低时间及包块消失时间均短于对照组(P<0.05)。对照组患者并发症发生率为21.88%,试验组患者为3.13%,试验组并发症发生率明显低于对照组(P<0.05)。试验组患者患者治疗总有效率100%高于对照组的84.38%(P<0.05)。结论剖宫产术后瘢痕部位妊娠治疗方式的选择十分重要,超声引导下清宫术的治疗效果显著,可促进患者β-HCG降低至正常水平,还尽可能保留卵巢、子宫的正常功能,缩短住院时间,减少术中出血量,具有临床推广价值。Objective To explore the choice ofpregnancy treatment for scar site after cesarean section.Methods 64 patients with cicatricial pregnancy after cesarean section were selected and divided into control group and experimental group according to different surgical methods,with 32 cases in each group.The control group underwent conventional abortion and the experimental group imderwent ultrasound guided clearing.Operation related indexes,recovery and therapeutic effects were compared between the two groups.Results The operation time,intraoperative blood loss and hospital stay of the control group were(42.39±2.45)min,(80.38±7.24)ml and(8.61±1.56)d,respectively,while those of the experimental group were(33.49±2.41)min,(54.71±9.87)ml and(439±1.87)d,respectively The operation time and hospital stay ofexperimental group were shorter than that ofcontrol group,and the intraoperative blood loss was less than that ofcontrol group(P<0.05).In control group,menstrual recovery time,blood p-human chorionic gonadotropin(P-HCG)reduction time and mass disappearance time were(43.07±5.21)d,(46.38±9.96)d and(70.31±4.57)d respectively.The experimental groups were(35.58±2.72)d,(24.7l±9.15)d and(18.39±8.52)d,respectively.The menstrual recovery time,blood p-HCG reduction time and mass disappearance time of experimental groups were shorter than those of control group(P<0.05).The incidence of complications was 21.88%in the control group and 3.13%in the experimental group,whichwas significantly lowerthan that in the control group(P<0.05).The total effective rate of experimental group was 100%higher than that of control group 84.38%(P<0.05).Conclusion The choice of pregnancy treatment method for scar site after cesarean section is very important.The treatment effect ofultrasound-guided uterine clearing is significant,which can promote the p-HCG ofpatients to reduce to the normal level,but also preserve the normal ftmction of ovary and uterus as far as possible,shorten the length ofhospital stay,reduce intraoperative blood loss,and ha

关 键 词：剖宫产 瘢痕部位 治疗方式 

分 类 号：R714.22[医药卫生—妇产科学]