腹腔镜手术治疗剖宫产术后子宫瘢痕妊娠30例临床研究

The efficacy of laparoscopic operation in the treatment of 30 patients with cesarean scar pregnancy

目的探讨腹腔镜手术治疗剖宫产术后子宫瘢痕妊娠的疗效。方法选择2012年6月~2014年6月我院行腹腔镜手术治疗的剖宫产术后子宫瘢痕妊娠患者30例为观察组,另选择2010年6月~2012年6月行剖宫产术后子宫瘢痕妊娠患者30例为对照组,比较两组的手术时间、住院时间、月经恢复时间、出血量以及治愈率、血β-HCG下降至正常时间。结果观察组产妇的住院时间、月经恢复时间均显著短于对照组,观察组患者术中出血量显著少于对照组,差异具有统计学意义（P〈0.05）。观察组患者的治愈率达100.0%,显著高于对照组,差异具有统计学意义,且观察组患者血β-HCG下降至正常时间显著短于对照组,差异具有统计学意义（P〈0.05）。结论腹腔镜手术治疗剖宫产术后子宫瘢痕妊娠具有较好的治疗效果,治愈率高,且可以缩短手术时间、住院时间、月经恢复时间,减少出血量。

Objective To investigate the efficacy of laparoscopic operation in the treatment of cesarean scar pregnancy.Methods From June 2012 to June 2014 in our hospital,selected 30 cases of patients underwent laparoscopic operation for the treatment of post cesarean uterine scar pregnancy as observation group, chose another 30 patients with cesarean scar pregnancy from June 2010 to June 2012 as control group, the operation time, hospital stay, menstrual recovery time, the amount of bleeding,the cure rate, blood beta-HCG decreased to normal time between the two groups were compared. Results The hospitalization time, menstrual recovery time in the observation group was significantly shorter than that in the control group, the bleeding volume in the observation group was significantly less than that in the control group, with significant difference（P〈0.05）. The cure rate in the observation group（100.0%） was significantly higher than that in the control group, with statistically significant difference（P〈0.05）, and the serum β-HCG decreased to normal time in the observation group was significantly shorter than that in the control group, with significant difference（P〈0.05）. Conclusion Laparoscopic operation for the treatment of cesarean scar pregnancy has good treatment effect, high cure rate, and can shorten the operation time, hospitalization time, menstrual recovery time, reduce bleeding.