宫腔镜手术治疗剖宫产瘢痕妊娠的临床研究

中国基层医药 Pub Date : 2020-03-15 DOI:10.3760/CMA.J.ISSN.1008-6706.2020.06.002

Yong Zhu, Xiao-juan Zheng, Zhenzhen Zhu, Hui-Min Teng, Feifei Ni

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引用次数: 0

摘要

目的探讨宫腔镜瘢痕切除术治疗剖宫产瘢痕妊娠（CSP）的临床疗效及其对血清β-人绒毛膜促性腺激素（β-HCG）的影响。方法2017年1月至2019年1月，温州市人民医院收治的83例内源性CSP患者，按照不同的手术方法分为观察组（43例）和对照组（40例）。观察组行宫腔镜瘢痕切除术，对照组行子宫动脉栓塞治疗。比较两组的成功率、术中出血量、阴道出血时间和住院时间、术后并发症和血β-HCG恢复时间。结果观察组手术成功率为97.67%（42/43），高于对照组[82.50%（33/40）]（χ2=3.875，P＜0.05），高于对照组77.50%（31/40）（χ2=6.170，P<0.05）。关键词：宫腔镜检查；瘢痕；剖宫产；妊娠，异位；绒毛膜促性腺激素，β亚单位，人；子宫出血；术后并发症；患者满意度

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Clinical study of hysteroscopic resection for cesarean scar pregnancy

Objective To investigate the clinical effect of hysteroscopic scar excision for cesarean scar pregnancy(CSP) and its effect on serum β-human chorionic gonadotropin(β-HCG). Methods From January 2017 to January 2019, 83 patients with endogenous CSP admitted to the People's Hospital of Wenzhou were divided into observation group(43 cases) and control group(40 cases) according to different surgical methods.The observation group underwent hysteroscopic scar lesion resection, while the control group underwent uterine artery embolization.The success rate, intraoperative bleeding volume, vaginal bleeding time and hospitalization time, postoperative complications and the recovery time of blood β-HCG were compared between the two groups. Results The success rate of operation in the observation group was 97.67%(42/43), which was higher than that in the control group[82.50%(33/40)](χ2=3.875, P 0.05). The recovery time of blood β-HCG in the observation group[(19.54±3.52)d]was shorter than that in the control group[(28.73±6.57)d](t=8.020, P<0.05). The total satisfaction rate of the observation group was 97.67%(42/43), which was higher than 77.50%(31/40) of the control group(χ2=6.170, P<0.05). Conclusion Hysteroscopy-assisted scar excision is effective in the treatment of CSP, and can shorten the recovery time of blood β-HCG. Key words: Hysteroscopy; Cicatrix; Cesarean section; Pregnancy, ectopic; Chorionic gonadotropin, beta subunit, human; Uterine hemorrhage; Postoperative complications; Patient satisfaction

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来源期刊

中国基层医药

CiteScore

0.10

自引率

0.00%

发文量

32251

期刊介绍： Since its inception, the journal "Chinese Primary Medicine" has adhered to the development strategy of "based in China, serving the grassroots, and facing the world" as its publishing concept, reporting a large amount of the latest medical information at home and abroad, prospering the academic field of primary medicine, and is praised by readers as a medical encyclopedia that updates knowledge. It is a core journal in China's medical and health field, and its influence index (CI) ranks Q2 in China's academic journals in 2022. It was included in the American Chemical Abstracts in 2008, the World Health Organization Western Pacific Regional Medical Index (WPRIM) in 2009, and the Japan Science and Technology Agency Database (JST) and Scopus Database in 2018, and was included in the Wanfang Data-China Digital Journal Group and the China Academic Journal Comprehensive Evaluation Database.