经阴道子宫瘢痕妊娠病灶切除术结合中草药治疗子宫瘢痕妊娠的临床分析

Clinical analysis of transvaginal uterine scar pregnancy combined with Chinese herbal medicine in the treatment of uterine scar pregnancy

目的:分析经阴道子宫瘢痕妊娠病灶切除术治疗子宫瘢痕妊娠的临床疗效。方法:100例子宫瘢痕妊娠患者,随机分为观察组与对照组,每组50例。观察组采用经阴道子宫瘢痕妊娠病灶切除术,对照组采用经腹子宫瘢痕妊娠病灶切除术。比较两组患者的临床疗效。结果:观察组与对照组的治疗总有效率分别为100.0%和88.0%,比较差异具有统计学意义(P<0.05)。观察组在手术时间、术中出血量等方面由于对照组,差异有统计学意义(P<0.05)。观察组在住院时间、HCG恢复正常水平时间、病灶缩小时间、月经恢复正常时间等方面均优于对照组(P<0.05)。结论:经阴道子宫瘢痕妊娠病灶切除术在子宫瘢痕妊娠的临床治疗中具有较高的应用价值,能够有效降低手术风险,改善患者的预后情况。

objective ： to analysis the transvaginal uterine scar pregnancy lesion resection in the treatment of uterine sear pregnancy curative effect. Meth- ods： 100 patients with uterine scar pregnancy, were randomly divided into observation group and control group, 50 cases in each group. Observation group using transvaginal uterine scar pregnancy lesion resection, the control group with abdominal lesion resection of uterine sear pregnancy. Compare the clinical efficacy of two groups of patients. Results ： the total effective rate of observation group and control group were 100.0% and 88.0% respec- tively, compare the differences statistically significant （ P 〈 0.05 ）. Observation group in the operation time, intraoperative blood loss due to that in con- trol group, the difference was statistically significant （ P 〈 0.05 ）. Observation group in the length of hospital stay, HCG time, lesions to reduce the time back to normal level, returned to normal menstrual time were better than that in control group （ P 〈 0.05 ）. Conclusion ： transvaginal uterine scar preg- nancy resection of the lesions in the clinical treatment of uterine scar pregnancy has higher application value, and can effectively reduce the operation risk, improve the prognosis of patients with situation.