不同手术方式对剖宫产术后疤痕妊娠的临床效果

Clinical Effects of Two Operative Methods for Cesarean Scar Pregnancy

目的:分析剖宫产术后瘢痕妊娠患者采用不同手术方式的临床治疗效果。方法:选取在我院就诊的剖宫产术后瘢痕妊娠患者39例作为研究对象,按手术方式分为观察组(n=13)和对照组(n=26),观察组和对照组患者分别采用经阴道子宫瘢痕妊娠病灶切除术和子宫动脉栓塞+MTX灌注+B超监护下清宫术,对比分析两组患者的手术治疗效果。结果:与对照组患者相比,观察组患者的术中出血量和术后并发症发生率明显降低(P<0.05),手术时间及住院天数明显缩短(P<0.05)。结论:对剖宫产术后瘢痕妊娠患者采用经阴道子宫瘢痕病灶切除术不但能降低术中出血量和术后并发症发生率,而且能缩短患者的手术时间及住院天数,值得临床进一步推广使用。

Objective： To analyze the clinical effects of the two operative methods for treating patients with cesarean scar pregnancy. Methods： A total 39 patients with cesarean scar pregnancy were enrolled into this study in our hospital. All the subjects were divided into two groups according to the operative methods： the observation group （n=13） and the control group （n=26）. The pa- tients of the observe group were treated with the vaginal cesarean scar pregnancy debridement surgery, and the patients of the control group were treated with the uterine artery embolization ＋ MTX perfusion ＋ uterus curettage under B ultrasound guidance. The following parameters were compared and analyzed： bleeding during operation, hospital stay, postoperative complica- tion rate, and operation time. Results： Compared with those respectively in control group, the bleeding during operation and postoperative complications were less, the hospital stay and operation time were shorter in observation group. Conclusion： For the patients with cesarean scar pregnancy, the vaginal cesarean scar pregnancy debridement surgery are recommended in clinical decisions.