摘要
目的分析在宫颈妊娠中使用宫腔镜辅助治疗的具体临床效果。方法目的选取2021年2月—2024年1月在武汉仁爱医院进行宫颈妊娠手术的220例患者为研究对象,以不同的手术方法分为常规组和研究组,每组110例。常规组患者采用常规手术,研究组患者使用宫腔镜技术。对比两组一次手术成功率、手术时间、术中出血量和住院时间、子宫穿孔率、术后并发症。结果研究组一次手术成功率为92.73%(102/110),高于常规组的81.82%(90/110),两组比较,差异有统计学意义(χ^(2)=5.893,P<0.05)。研究组的手术时间、术中出血量和住院时间均优于常规组,差异均有统计学意义(P均<0.05)。研究组子宫穿孔率低于常规组,但差异无统计学意义(P>0.05)。研究组术后腹痛、月经异常、感染、子宫粘连的总发生率低于常规组,差异有统计学意义(P<0.05)。结论在宫颈妊娠手术中使用宫腔镜辅助技术可以有效提高手术成功率,术后出血量较少、住院时间较短,说明患者术后恢复较快,且能有效控制患者术后并发症的出现,临床价值较高。
Objective To analyze the specific clinical effect of hysteroscopic adjuvant therapy in cervical pregnancy.Methods A total of 220 patients who underwent cervical pregnancy surgery in Wuhan Ren'ai Hospital from February 2021 to January 2024 were purposefully selected as the research objects.They were divided into routine group and study group according to different surgical methods,with 110 cases in each group.The patients in the conventional group were treated with conventional surgery,and the patients in the study group were treated with hysteroscopy.The success rate of one operation,operation time,intraoperative blood loss and hospitalization time,uterine perforation rate and postoperative complications were compared between the two groups.Results The success rate of one-time op⁃eration in the study group was 92.73%(102/110),which was higher than 81.82%(90/110)in the conventional group,and the difference between the two groups was statistically significant(χ^(2)=5.893,P<0.05).The operation time,intraop⁃erative blood loss and hospitalization time of the study group were better than those of the conventional group,and the differences were statistically significant(all P<0.05).The rate of uterine perforation in the study group was lower than that in the conventional group,but the difference was not statistically significant(P>0.05).The total incidence of post⁃operative abdominal pain,abnormal menstruation,infection and uterine adhesion in the study group was lower than that in the conventional group,and the difference was statistically significant(P<0.05).Conclusion The use of hyster⁃oscopy assisted technology in cervical pregnancy surgery can effectively improve the success rate of surgery,with less postoperative bleeding and shorter hospitalization time,indicating that patients recover faster after surgery,and can ef⁃fectively control the occurrence of postoperative complications,with high clinical value.
作者
夏婷
曾菲
赵婷
XIA Ting;ZENG Fei;ZHAO Ting(Wuhan Ren'ai Hospital,Wuhan 430000,Hubei,China)
出处
《系统医学》
2025年第8期152-155,共4页
Systems Medicine
关键词
宫腔镜
宫颈妊娠
并发症
子宫穿孔
子宫粘连
Hysteroscopy
Cervical pregnancy
Complications
Uterine perforation
Uterine adhesion
