宫腔镜治疗内生型剖宫产瘢痕妊娠的临床分析

Study of hysteroscopy in treatment of endogenous type cesarean section scar pregnancy

目的探讨宫腔镜下负压吸宫术在内生型剖宫产瘢痕妊娠(Cesarean section scar pregnancy,CSP)治疗中的应用。方法收集宫腔镜下负压吸宫术治疗的内生型CSP患者20例为研究组,药物治疗后吸宫的内生型CSP患者15例为对照组,就一系列临床观察指标进行分析。结果研究组血β-HCG降至正常的时间、术中出血量、阴道出血天数、继发阴道大出血的例数、住院天数较对照组少,差异有统计学意义(P<0.05)。住院费用较对照组高,差异有统计学意义(P<0.05)。结论对内生型的CSP患者,经术前的认真评估,宫腔镜下负压吸宫术是安全可行的。

Objective To study the endogenous type hysteroscopy uterine aspiration ＇ s application of in treatment of ce- sarean section scar pregnancy （ CSP）. Methods Chose 20 CSP patients by hysteroscopy uterine aspiration in study group. Collect 15 CSP patients by drug treatment and uterine aspiration in control group. Results The decreasing rate of serum β -HCG,the amount of bleeding during the operation, vaginal bleeding days, the number of vaginal hemorrhea, hospitalization days were statistically lower in study group （ P 〈 0. 05 ）. The hospitalization expenses were statistically higher in study group （ P 〈 0. 05 ）. Conclusion Hysteroscopy uterine aspiration is safe and feasible with preoperative carefully evaluated.