宫腔镜病灶切除术治疗剖宫产术后子宫瘢痕妊娠患者的临床效果  

Clinical Effect of Hysteroscopic Lesion Resection Surgery in the Treatment of Uterine Scar Pregnancy after Cesarean Section

作　　者：韩贤华 HAN Xianhua(Department of Gynaecology,Ganzhou People's Hospital of Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院妇科,江西赣州341000

出　　处：《反射疗法与康复医学》2024年第22期85-88,共4页Reflexology And Rehabilitation Medicine

基　　金：赣州市指导性科技计划(GZ2018ZSF157)。

摘　　要：目的分析宫腔镜病灶切除术治疗剖宫产术后子宫瘢痕妊娠患者的具体效果。方法选取2021年1月—2023年12月江西省赣州市人民医院收治的102例剖宫产术后子宫瘢痕妊娠患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组51例。对照组采用超声监视下清宫术治疗,观察组采用宫腔镜病灶切除术治疗。比较两组患者的手术指标、术后恢复情况、术后病灶残留情况及术后并发症发生情况。结果观察组手术用时为(44.19±5.20)min,短于对照组的(47.25±5.27)min,术中出血量为(279.22±40.36)mL,少于对照组的(345.23±41.19)mL,组间差异有统计学意义(P<0.05)。观察组术后住院时间、术后阴道流血时间、术后血人绒毛膜促性腺激素转阴时间、术后月经恢复时间分别为(6.78±1.12)d、(9.28±1.75)d、(24.39±10.12)d、(35.16±7.19)d,均短于对照组的(9.27±1.06)d、(12.31±1.77)d、(33.25±10.19)d、(40.14±7.27)d,组间差异有统计学意义(P<0.05)。观察组术后病灶残留率为0.00%,低于对照组的11.76%,差异有统计学意义(P<0.05)。观察组术后并发症发生率为1.96%,低于对照组的13.73%,差异有统计学意义(P<0.05)。结论宫腔镜病灶切除术治疗剖宫产术后子宫瘢痕妊娠有助于优化手术指标,减少病灶残留,对患者术后恢复有益。Objective To analyze the specific effect of hysteroscopic lesion resection surgery in the treatment of uterine scar pregnancy after cesarean section.Methods A total of 102 patients with uterine scar pregnancy after cesarean section treated in Ganzhou People's Hospital of Jiangxi Province from January 2021 to December 2023 were selected as the research objects,and were divided into a control group and an observation group by random number table method,with 51 cases in each group.The control group was treated with ultrasonics and the observation group was treated with hysteroscopic lesion resection surgery.The surgical indexes,postoperative recovery,residual lesions and occurrence of postoperative complications were compared between the two groups.Results The operation time in the observation group was(44.19±5.20)min,which was shorter than(47.25±5.27)min in the control group,and the intraoperative blood loss was(279.22±40.36)mL,which was less than(345.23±41.19)mL in the control group,the difference between the groups were statistical significance(P<0.05).Postoperative hospitalization time,postoperative vaginal bleeding time,postoperative Human Chorionic Gonadotropin negative time and postoperative menstrual recovery time in the observation group were(6.78±1.12)d,(9.28±1.75)d,(24.39±10.12)d and(35.16±7.19)d,respectively,which were shorter than(9.27±1.06)d,(12.31±1.77)d,(33.25±10.19)d and(40.14±7.27)d in the control group,and the differences between the groups were statistically significant(P<0.05).The residual rate of lesions in the observation group was 0.00%,which was lower than 11.76%in the control group,and the difference was statistically significant (P<0.05). The incidence of postoperative complications in the observation group was 1.96%, which was lower than 13.73% in the control group, and the difference was statistically significant (P<0.05). Conclusion Hysteroscopic lesion resection surgery in the treatment of uterine scar pregnancy after cesarean section is helpful to optimize surgical indexes

关 键 词：子宫瘢痕妊娠 剖宫产 宫腔镜病灶切除术 病灶残留 

分 类 号：R714.22[医药卫生—妇产科学]