摘要
目的探讨经阴道子宫下段切开取胚术+子宫缺陷修补术治疗剖宫产疤痕妊娠(CSP)的临床价值。方法选择2011年7月至2012年2月于本院确诊并住院治疗的14例CSP患者为研究对象,对其采用经阴道子宫下段切开取胚术+子宫缺陷修补术治疗(本研究遵循的程序符合本院人体试验委员会所制定的伦理学标准,得到该委员会批准,征得受试对象本人的知情同意,并与之签署临床研究知情同意书)。结果本组患者手术成功率为100%(14/14)。术后1d出现血清人绒毛膜促性腺激素(hCG)水平显著下降患者为12例(85.7%),且本组所有患者血清hCG水平均于术后1个月恢复正常。结论经阴道子宫下段切开取胚术+子宫缺陷修补术治疗CSP具有安全、有效、微创、经济的优点。
Objective To study the clinical value of transvaginal removal of ectopic pregnancy tissue and repair of uterine defect for caesarean scar pregnancy（CSP）. Methods From September 2011 to Febuary 2012,14 patients with CSP were included in the study, and accepted the transvaginal removal of ectopic pregnancy tissue and repair of a uterine defect surgery. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Nanshan Affiliated Hospital of Guangdong Medical College. Informed consent was obtained from each patients. Results The success rate of operation was 100.0 % （14/14）. There were 12 patients（85.7 ~//00 ） whose serum human chorionic gonadotrophin （hCG） level had significant decrease at first day after operation. The serum hCG level of all patients became normal within 1 month after operation in the study. Conclusions The transvaginal removal of ectopic pregnancy tissue and repair of the uterine defect is safe, effective, minimally invasive and economical for patients with CSP.
出处
《中华妇幼临床医学杂志（电子版）》
CAS
2013年第1期83-85,共3页
Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)
关键词
剖宫产疤痕妊娠
手术治疗
caesarean scar pregnancy
operation treatment
