剖宫产瘢痕部位妊娠35例临床分析

Clinical analysis of 35 cases of cesarean scar pregnancy

目的探讨剖宫产瘢痕部位妊娠患者的临床表现,诊断、治疗及预防措施。方法选取2013年2月~2017年1月我院妇产科收治的剖宫产瘢痕部位妊娠患者35例为研究对象,按照随机将其分成观察组(n=18)和对照组(n=17),对照组给予转开腹行病灶楔形切除及子宫修补术,观察组给予腹腔镜行妊娠病灶切除术及子宫修补术。比较两组患者的手术效果。结果观察组患者在住院时间、出血量、月经恢复时间以及手术时间等指标上,相比较对照组而言,均明显更为优异,差异有统计学意义(P<0.05)。结论针对于剖宫产瘢痕部位妊娠患者,将腹腔镜行妊娠病灶切除术及子宫修补术应用于其临床治疗中,可有效的缩短患者住院时间和手术时间,同时在因此,可于临床实践中进一步推广使用。

Objective To investigate the clinical manifestations, diagnosis, treatment and preventive measures of cesarean scar pregnancy.Methods From February 2013 to cesarean scar from January 2017 in our hospital 35 patients as the research object, according to randomly divided into observation group （n=18） and control group （n=17）, the control group was given to laparotomy lesion wedge resection and repair of the uterus, the observation group was given laparoscopic resection of pregnancy operation and repair of uterine surgery. The effect of the two groups were compared.Results Compared with the control group, the patients in the observation group were signi？ cantly better than the control group in the time of hospitalization, the amount of bleeding, the time of menstruation recovery and the operation time, the difference was statistically signi？ cant （P〈0.05）.Conclusion For cesarean scar pregnancy patients, the laparoscopic pregnancy lesion resection and uterus repair applied to clinical treatment, can effectively shorten the hospitalization time and operation time of patients, at the same time it can further promote the use in clinical practice.