宫腔球囊放置术联合超声下宫腔异物取出术在瘢痕妊娠中的应用效果

Effect of intrauterine balloon placement combined with ultrasonic removal of intrauterine foreign body in patients with scar pregnancy

目的探讨宫腔球囊放置术联合超声下宫腔异物取出术在剖宫产瘢痕妊娠(CSP)中的应用效果。方法选取CSP患者80例,根据治疗方案的不同分为实验组42例和对照组38例,对照组采取超声下经宫腔镜宫腔异物取出术治疗,实验组在对照组方法基础上联合宫腔球囊放置术。比较2组的出血情况、疗效以及并发症发生情况。结果实验组术中出血量、术后24h内出血量均少于对照组,差异有统计学意义(P<0.05);实验组的住院时间、术后β-HCG恢复正常时间、月经恢复时间均短于对照组,差异有统计学意义(P<0.05);2组的手术相关宫腔残留率、二次清宫率差异无统计学意义(P>0.05);实验组的并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论宫腔球囊放置术联合超声下宫腔异物取出术治疗CSP安全且有效。

Objective To explore the effect of intrauterine balloon placement combined with ultrasonic removal of intrauterine foreign body in patients with cesarean scar pregnancy(CSP).Methods Totally 80 CSP patients were selected and divided into experimental group(n=42)and control group(n=38)according to therapeutic plan.The control group was treated with ultrasonic removal of intrauterine foreign body by hysteroscopy,and the experimental group was treated with intrauterine balloon placement on the basis of the control group.Vaginal bleeding,curative effect and complications were compared between the two groups.Results The amount of intraoperative blood loss and the bleeding within 24 hours after operation in the experimental group were significantly less than those in the control group(P<0.05).The hospitalization time,recovery time ofβ-HCG to normal level after operation and menstruation recovery time in the experimental group were significantly shorter than those in the control group(P<0.05).There were no significant differences in operation-related residual rate of uterine cavity and the second curettage rate between two groups(P>0.05).The incidence of complications in the experimental group was significantly lower than that in the control group(P<0.05).Conclusion Intrauterine balloon placement combined with ultrasonic removal of intrauterine foreign body is effective and safe in the treatment of patients with CSP.