超声监测下宫颈注射垂体后叶素清宫联合宫腔镜电切治疗剖宫产瘢痕部位妊娠的疗效观察

Observation on the effect of intracervical injection of Pituitary Suqing combined with hysteroscopic electric resection under ultrasound monitoring in the treatment of pregnancy at cesarean scar

目的探究超声监测下宫颈注射垂体后叶素清宫联合宫腔镜电切治疗剖宫产瘢痕部位妊娠的疗效。方法选取2018年1月至2020年1月本院接收的剖宫产瘢痕部位妊娠患者85例,按照随机数表法分为对照组(n=42)与研究组(n=43)。对照组接受宫腔镜电切治疗,研究组在此基础上联合超声监测下宫颈注射垂体后叶素清宫进行治疗。比较两组疗效、围术期指标及并发症发生情况。结果研究组治疗总有效率为95.35%,高于对照组的76.19%,差异有统计学意义(P<0.05);研究组围术期各项指标均低于对照组,差异有统计学意义(P<0.05);研究组并发症发生率低于对照组,但差异无统计学意义。结论对剖宫产瘢痕部位妊娠患者实施超声监测下宫颈注射垂体后叶素清宫联合宫腔镜电切治疗临床效果明显,有助于缩短手术时间,减少出血量,减少术后并发症,且安全性高。

Objective To explore the effect of ultrasound monitoring of uterine pituitary injection into the uterine cervix combined with hysteroscopic electric resection in the treatment of pregnancy at the scar of cesarean section.Methods 85 pregnant patients with cesarean section scars received in our hospital from January 2018 to January 2020 were selected and divided into a control group(n=42)and a study group(n=43)according to the random number table.The control group received hysteroscopic electric resection,and the research group combined with ultrasound monitoring under the cervix injection of Pituitary Suqing for treatment.The curative effect,perioperative indicators and complications of the two groups were compared.Results The total effective rate of treatment in the study group was 95.35%,which was higher than 76.19%in the control group,the difference was statistically significant(P<0.05).The perioperative indicators of the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the control group,but the difference was not statistically significant.Conclusion The clinical effect of ultrasound monitoring for pregnant patients at the scar site of cesarean section with hypophyseal injection combined with hysteroscopic resection is obvious,which is helpful to shorten the operation time,reduce blood loss,reduce postoperative complications,and with high safety.