瘢痕妊娠患者采用B超监测下宫腔镜电切治疗的效果及安全性探究

Investigate of effect and safety by B ultrasound monitoring hysteroscopic electroexcision in the treatment of cesarean scar pregnancy

目的探究瘢痕妊娠患者采用B超监测下宫腔镜电切治疗的效果及安全性。方法 65例瘢痕妊娠患者,随机分为观察组(35例)和对照组(30例)。观察组在B超监测下采用宫腔镜电切治疗,对照组患者采用经腹手术治疗。治疗5 d后,对两组患者的人绒毛膜促性腺激素β(β-HGG)下降恢复正常时间、月经恢复时间及患者住院时间等进行比较。结果观察组患者的β-HGG下降恢复正常时间、月经恢复时间及住院时间分别为(9.23±2.32)、(20.12±3.35)、(10.15±2.12)d,均明显短于对照组的(40.98±6.65)、(48.75±6.15)、(23.32±4.58)d,差异均具有统计学意义(P<0.05)。结论在B超监测下使用宫腔镜电切治疗瘢痕妊娠具有明显的效果,安全性能高,在临床上值得推广使用。

Objective To investigate effect and safety by B ultrasound monitoring hysteroscopic electroexcision in the treatment of cesarean scar pregnancy. Methods A total of 65 patients with cesarean scar pregnancy were randomly divided into observation group （35 cases） and control group （30 cases）. The observation group received B ultrasound monitoring hysteroscopic electroexcision, and the control group received transabdominal operation for treatment. In 5 d after treatment, comparison was made on human chorionic gonadotropin β （ β -HGG） back to normal time, menstruation resume time and hospital stay time between the two groups. Results The observation group had β -HGG back to normal time, menstruation resume time and hospital stay time respectively as （9.23 ± 2.32）, （20.12 ± 3.35）, （10.15 ± 2.12） d, which were all much shorter than （40.98 ± 6.65）, （48.75 ±6.15）, （23.32 ±4.58） d in the control group. Their differences all had statistical significance （P〈0.05）. Conclusion Implement of B ultrasound monitoring hysteroscopic eleetroexcision contains remarkable effect in treating cesarean scar pregnancy, along with high safety. It is worth clinical promotion and application.