子宫剖宫产疤痕妊娠中宫腔镜的应用

Hysteroscopic Uterine Cesarean Scar Pregnancy Applications

目的探讨宫腔镜在子宫剖宫产疤痕妊娠病因以及治疗中的应用。方法对该院于2012年2月—2013年2月间收治的120例子宫剖宫产者后疤痕妊娠患者,随机分为观察组60例和对照组60例,观察组患者采用宫腔镜治疗,对照组采用甲氨蝶呤药物保守治疗,对两组患者的住院时间、β-HCG下降至正常水平所需时间、和子宫疤痕妊娠终止率等指标进行比较。结果经过上述方法的治疗,观察组的治疗效果要优于对照组,住院时间、β-HCG下降至正常水平所需时间、和子宫疤痕妊娠终止率等指标均优于对照组,差异有统计学意义(P<0.05)。结论子宫剖宫产疤痕妊娠中采用宫腔镜进行治疗,在安全性以及有效性上都由于传统的药物治疗,值得在临床上推广使用。

Objective This paper discusses the hysteroscopic uterine cesarean scar pregnancy cause and treatment of applications. Methods Scar pregnant patients in our hospital between February 2012-February 2013 admitted 120 cases of uterine cesarean section were randomly divided into observation group （60 cases） and control group （60 cases）, the observation group were treated with Palace endoscopic therapy, the control group with conservative medical treatment with methotrexate, for the two groups of patients hospitalized time,β-HCG dropped to normal levels time, and uterine scar pregnancy termination rate were compared. Results After treatment of the above methods, the treatment effect in the observation group than the control group to hospitalization time,β-HCG dropped to normal levels time, and uterine scar pregnancy termination rates and other indicators are better than the control group, P〈0.05, the difference statistically significant.Conclusion Cesarean scar pregnancy uterus using hysteroscopy for treatment, in both safety and effectiveness due to the traditional drug therapy, should be introduced in clinical practice.