摘要
目的探讨腹腔镜病灶剔除术联合修补术治疗停经<7周Ⅱ~Ⅲ型剖宫产术后子宫瘢痕妊娠(CSP)的临床效果。方法选取2017年4月~2019年2月我院收治的63例停经<7周Ⅱ~Ⅲ型剖宫产术后的患者CSP作为研究对象,根据治疗方法不同分为观察组(31例)和对照组(32例)。观察组采用腹腔镜病灶剔除术和修补术,对照组采用宫腔镜病灶剔除术。比较两组住院时间、术后月经恢复正常时间、手术成功率、手术治疗效果满意率、手术并发症总发生率。结果观察组住院、术后月经恢复正常时间短于对照组,差异有统计学意义(P<0.05);观察组手术成功率高于对照组,差异有统计学意义(P<0.05);观察组手术治疗效果总满意率高于对照组,差异有统计学意义(P<0.05);观察组手术并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论对停经时间<7周Ⅱ~Ⅲ型剖宫产术后CSP患者采用腹腔镜病灶剔除术和修补术治疗的安全性优于宫腔镜病灶剔除术,手术成功率更高,可以促使其术后恢复,缩短住院时间,促使术后月经恢复正常,有一定的治疗价值。
Objective To investigate the clinical effect of laparoscopic resection and repair in the treatment of cesarean car pregnancy(CSP)afterⅡ-Ⅲcesarean section with menopause<7 weeks.Methods Sixty-three patients with CSP after typeⅡ-Ⅲcesarean section who were admitted to our hospital from April 2017 to February 2019 were enrolled in the study.They were divided into observation groups(31 cases)and the control group(32 cases)according to different treatment methods.The observation group was treated with laparoscopic lesion removal and repair,and the control group was treated with hysteroscopic lesion removal.The hospital stay,time of normal menstruation after operation,the success rate of surgery,the satisfaction rate of surgical treatment,and the total incidence of surgical complications were compared between two groups.Results The hospital stays and time of normal menstruation after operation in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The total success rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The total satisfaction of surgical treatment was higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of surgical complications in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic lesion removal and repair is safer than hysteroscopy in the treatment of CSP after cesarean section of typeⅡ-Ⅲwhose menopausal time is less than 7 weeks.The success rate of operation is higher,which can promote the recovery after operation,shorten the hospitalization time and promote the recovery of normal menstruation after operation.It has important therapeutic value.
作者
胡婷
彭伶
吕东霞
HU Ting;PENG Ling;LYU Dong-xia(Department of Gynecology and Obstetrics,Armed Police Guangdong Provincial Corps Hospital,Guangzhou 510000,China)
出处
《中国当代医药》
2020年第4期130-132,共3页
China Modern Medicine
关键词
停经7周
Ⅱ型
Ⅲ型
剖宫产
子宫瘢痕妊娠
安全性
Menopause for 7 weeks
TypeⅡ
TypeⅢ
Cesarean section
Cesarean scar pregnancy
Safety
