经阴道剖宫产瘢痕妊娠病灶切除术30例临床分析

Transvaginal Surgery for Cesarean Scar Pregnancy: Clinical Analysis of 30 Cases

目的探讨经阴道剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)病灶切除术的临床效果及安全性。方法2013年1月~2016年1月,对30例CSP行经阴道病灶切除术,随访观察临床效果及安全性。结果 1例中转开放手术,其余手术均顺利完成,手术时间30~120 min,(53.4±26.0)min,术中出血量<50 ml,住院3~7 d,(4.3±1.3)d,血β-h CG降至正常时间14~36 d,(24.1±13.2)d,无持续妊娠,未出现切口愈合不良、感染、膀胱损伤等手术并发症。结论经阴道CSP病灶切除术的临床效果好,并发症少,值得基层医院推广应用。

Objective To evaluate the clinical effect and safety of transvaginal lesion resection for cesarean scar pregnancy （CSP）.Methods A total of 30 patients with CSP in our hospital received the transvaginal CSP lesion resection from January 2013 to January 2016 and were followed-up to observe the clinical efficacy and safety.Results The operations were successfully completed except one case of conversion to open surgery.The operation time was 30-120 min （53.4±26.0 min）, the intraoperative hemorrhage was less than 50 ml, the hospital time was 3-7 d （4.3±1.3 d）, and the postoperative time of serum β-hCG decreased to normal value was 14-36 d （24.1±13.2 d）.No continuous pregnancy or complications such as incision non-healing, infection, or bladder injury after operation.Conclusion The clinical effect of vaginal CSP lesion resection is good and has fewer complications, being worthy of application.