两种子宫瘢痕妊娠手术方式的疗效及术后生活质量的比较

The Clinical Effect and Life Quality After Two Operation Methods of Cesarean Scar Pregnancy

目的为提高子宫瘢痕妊娠疗效,探究两种不同手术方式用于疾病治疗的可行性以及患者生活质量改善情况。方法本次研究对象为2015年1月—2016年2月我院门诊收治的86例子宫瘢痕妊娠患者,按就诊号末位数字单双数将患者分为一般组(双数)、观察组(单数),每组人数均为43例。其中一般组行腹腔镜清宫术,观察组以阴式清宫术、子宫修补术治疗,观察术后患者恢复情况,随访1年比较患者生活质量。结果一年后回访,观察组较一般组患者生活质量高,P<0.05。结论子宫瘢痕妊娠临床以阴式清宫术、子宫修补术联合治疗,患者术后恢复快、生活质量好。

Objective To improve the clinical effect in patients with cesarean scar pregnancy, explore the clinical feasibility of two operation methods and enhance the patient＇s life quality. Methods 86 patients with cesarean scar pregnancy treated from January 2015 to February 2016 in our hospital were selected. The subjects were divided into general group （even numbers） and observation group （odd number） according to the last registration number, 43 cases in each group. The general group adopted the laparoscopic uterine curettage. On the basis, the observation group also adopted the uterine repair; after 1 year of follow-up visit, the postoperative recovery and life quality for two groups was observed. Results After 1 year of follow-up visit, the life quality for observation group was higher than general group （P 〈 0.05）. Conclusion For patients with cesarean scar pregnancy, the combined therapy of uterine curettage and uterine repair can promote the patient＇s fast recovery and improve the life quality.