腹腔镜改良子宫切口加压修补术对 II-III 型剖宫产瘢痕妊娠的疗效评估

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Fan Lu, Lu Han, Wenyu Liu, Hualei Cai
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引用次数: 0

摘要

研究目的本研究旨在评估腹腔镜下改良子宫切口加压修补术治疗Ⅱ-Ⅲ型剖宫产瘢痕妊娠(CSP)的疗效:方法:选取贵州医科大学附属医院2021年4月至2023年5月期间收治的20例Ⅱ-Ⅲ型剖宫产瘢痕妊娠患者作为研究对象。将患者分为两组:研究组(A 组),包括新近接受手术治疗的患者;对照组(B 组),包括由等级和手术经验相近的医生(非新手)治疗的 II-III 型 CSP 患者。两组患者的年龄、停经时间、妊娠和分娩史、剖宫产次数、术前人绒毛膜促性腺激素(HCG)水平、孕囊大小、HCG周转时间、手术时间、术中失血量、输血需求和住院费用等参数进行了比较:比较平均年龄、停经时间、术前 HCG 水平、妊娠和剖宫产频率、孕囊大小和 HCG 周转时间,未观察到显著的统计学差异(P > .05)。A 组的输血次数和住院费用低于 B 组,但差异无统计学意义(P > .05)。然而,与B组相比,A组的手术时间、术中出血量和住院费用明显更低(P < .05):结论:腹腔镜改良子宫切口加压修补术具有手术时间短、出血少、费用低、恢复快等优点,对 II-III 型 CSP 有临床价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the Efficacy of Laparoscopic Modified Uterine Incision Pressure Repair in Type II-III Cesarean Scar Pregnancy.

Objective: This study aims to assess the efficacy of laparoscopic modified uterine incision pressure repair in treating type II-III cesarean scar pregnancy (CSP).

Methods: A total of 20 patients diagnosed with type II-III CSP and admitted to the Affiliated Hospital of Guizhou Medical University between April 2021 and May 2023 were enrolled. The patients were divided into two groups: the study group (Group A), consisting of newly treated surgical patients, and the control group (Group B), including patients with type II-III CSP treated by doctors of similar grade and surgical experience (non-novel). Various parameters, including age, menopause duration, pregnancy and delivery history, cesarean section frequency, preoperative human chorionic gonadotropin (HCG) levels, pregnancy sac size, HCG turnover time, operation duration, intraoperative blood loss, blood transfusion requirements, and hospitalization costs, were compared.

Results: When comparing mean age, menopause duration, preoperative HCG levels, pregnancy and cesarean section frequencies, pregnancy sac size, and HCG turnover time, no statistically significant differences were observed (P > .05). The number of transfusions and hospitalization costs in Group A were lower than in Group B, although the differences were not statistically significant (P > .05). However, operative time, intraoperative bleeding, and hospitalization costs were significantly lower in Group A compared to Group B (P < .05).

Conclusions: The laparoscopic modified uterine incision pressure repair method demonstrated clinical value with its advantages of short operation time, reduced bleeding, lower costs, and rapid recovery for type II-III CSP.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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