剖宫产瘢痕妊娠62例的临床分析

Clinical Analysis of 62 cases of Caesarean Scar Pregnancy

目的分析剖宫产瘢痕妊娠62例患者的临床治疗方法和治疗效果。方法选取2017年9月至2019年9月我院收治的62例瘢痕妊娠患者作为研究对象,根据治疗方法进行分组,其中有16例选择B超介导下清宫术(A组),14例选择子宫动脉栓塞术(B组),15例选择宫腔镜下电切术(C组),17例选择宫腹腔镜联合修补术(D组)。对比四组患者的临床效果。结果A组的成功率为87.50%,B组的成功率为85.71%,C组的成功率为93.33%,D组的成功率为94.12%,差异较大(P<0.05)。结论相对于B超介导下清宫术和子宫动脉栓塞术而言,宫腔镜下电切术和宫腹腔镜联合修补术的临床效果要好一些,但在临床治疗中,需根据患者的具体情况选择合适的手术方式。

Objective To analyze the clinical treatment and therapeutic effect of 62 patients with caesarean scar pregnancy.Methods To choose between September 2017 and September 2019,our hospital 62 cases of scar pregnancy patients as the research object,according to the treatment group,including 16 cases of choice under ultrasound mediated(group A),qing choose 14 cases of uterine artery embolization(group B),15 cases choice under hysteroscopy electricity cut method(group C),17 cases choice palace laparoscopic repair of joint(group D).The clinical effects of the four groups were compared.Results the success rate of group A was 87.50%,the success rate of group B was 85.71%,the success rate of group C was 93.33%,and the success rate of group D was 94.12%,significant difference(P<0.05).Conclusion Compared with b-ultrasonic-mediated subcutaneous curettage and uterine artery embolization,hysteroscopic electrotomy and laparoscopic combined repair have better clinical effects,but appropriate surgical methods should be selected according to the specific conditions of patients in clinical treatment.