宫腔镜手术治疗剖宫产瘢痕部位妊娠的效果观察  

Observation of the effect of hysteroscopic surgery for cesarean scar pregnancy

作　　者：蔡金美 CAI Jin-mei(Department of Gynaecology and Obstetrics,Heze Maternal and Child Health and Family Planning Service Center,Heze 274000,China)

机构地区：[1]菏泽市妇幼保健计划生育服务中心妇产科,274000

出　　处：《中国实用医药》2023年第11期72-75,共4页China Practical Medicine

摘　　要：目的探究剖宫产瘢痕部位妊娠采用宫腔镜手术治疗的效果。方法26例剖宫产瘢痕部位妊娠患者,随机分为对照组和观察组,每组13例。对照组患者采取药物保守治疗,观察组患者在对照组基础上使用宫腔镜手术治疗。比较两组临床相关指标、终止妊娠成功率、治疗总满意度。结果观察组住院时间(8.37±2.59)d、β-绒毛膜促性腺激素(β-HCG)恢复正常时间(6.43±1.72)d均短于对照组的(16.75±3.46)、(10.66±2.70)d,差异有统计学意义(P<0.05)。观察组终止妊娠成功率92.31%高于对照组的53.85%,差异有统计学意义(P<0.05)。观察组治疗总满意度100.00%高于对照组的61.54%,差异有统计学意义(P<0.05)。结论剖宫产瘢痕部位妊娠患者采用宫腔镜手术治疗可有效提高终止妊娠成功率,促进患者身体康复,缩短患者住院时间,提高治疗满意度,值得临床推广。Objective To investigate the effect of hysteroscopic surgery for cesarean scar pregnancy.Methods A total of 26 patients with cesarean scar pregnancy were randomly divided into control group and observation group,with 13 cases in each group.The control group received drug conservative treatment,and the observation group received hysteroscopic surgery on the basis of the control group.The clinical indicators,success rate of pregnancy termination and total satisfaction with treatment were compared between the two groups.Results The hospitalization time of(8.37±2.59)d and the recovery time ofβ-human chorionic gonadotropin(β-HCG)of(6.43±1.72)d in the observation group were shorter than those of(16.75±3.46)d and(10.66±2.70)d in the control group,and the differences were statistically significant(P<0.05).The success rate of pregnancy termination in the observation group was 92.31%,which was higher than that of 53.85%in the control group,and the difference was statistically significant(P<0.05).The total satisfaction with treatment in the observation group was 100.00%,which was higher than that of 61.54%in the control group,the difference was statistically significant(P<0.05).Conclusion Hysteroscopic surgery for patients with cesarean scar pregnancy can effectively improve the success rate of pregnancy termination,promote patients'physical rehabilitation,shorten the hospitalization time and improve treatment satisfaction,which is worthy of clinical promotion.

关 键 词：剖宫产瘢痕部位妊娠 宫腔镜手术 药物保守治疗 

分 类 号：R714.22[医药卫生—妇产科学]