药物保守治疗结合宫腔镜检后清宫在早期疤痕妊娠治疗中的临床疗效分析

Clinical efficacy of drug conservative therapy combined with hysteroscopy in the treatment of early scar pregnancy

目的探讨药物保守治疗结合宫腔镜检后清宫在早期疤痕妊娠的治疗效果。方法将80例早期疤痕妊娠患者随机分为观察组及对照组,对照组患者采用药物结合刮宫术进行治疗,观察组患者采用药物结合宫腔镜检后清宫治疗。结果观察组患者的总产程、产后出血、出血时间、转经天数明显少于对照组,差异有统计学意义(P<0.05);观察组的完全流产率为62.5%,不完全流产率22.5%,引产失败率为15.0%,对照组的完全流产率为37.5%,不完全流产率30.0%,引产失败率为32.5%,观察组效果优于对照组,差异有统计学意义(P<0.05)。结论药物保守治疗结合宫腔镜检后治疗早期疤痕妊娠是一种安全、有效、微创的方法,有良好的预后,值得临床推广。

Objective To discuss the effect of drug conservative therapy combined with hysteroscopy in the treatment of early scar pregnancy.Methods 80 patients with early scar pregnancy were randomly divided into observation group and control group.Control group patients were treated with conservative medical treatment combined with curettage treatment.Observation group was treated with drug conservative therapy combined with hysteroscopy.Results Observation group＇s total stage of labor,postpartum hemorrhage,bleeding time and menstrualing time were less than those of the control group,the difference was statistically significant（P0.05）.Observation group＇s rate of complete abortion was 62.5%,rate of incomplete abortion was 22.5%,rate of induction failure rate was 15.0%,and of the control group were 37.5%,30.0% and 32.5%,and the difference was statistically significant（P0.05）.Conclusion Early scar pregnancy be treated by conservative drugcombined with hysteroscopy might be a safe,effectively,minimally invasive method,which be worthy of clinical applicaton.