剖宫产术后瘢痕妊娠治疗方式的临床研究

Research on the clinical effect of the treatment way for Uterine scar pregnancy

目的探讨并分析不同治疗方式用于剖宫产术后瘢痕妊娠（CSP）患者的治疗疗效。方法选取2015年1月-2016年1月我院和北京地坛医院收治的剖宫产术后CSP患者50例为研究对象,并随机分为三个组,第一组和第二组分别有患者17例,第三组有患者16例。第一组采取保守治疗方案,第二组采取手术治疗方案,第三组采取介入加手术治疗方案。比较三组的治疗疗效和预后结局情况。结果一组、二组、三组总有效率分别为94.11%、76.47%、87.50%,第一组均高于第二组和第三组;第一组的大出血发生率和盆腔、腹腔粘连率较第二组、第三组低,良好预后率较高,差异均有统计学意义（P〈0.05）。结论依据胎盘植入深度和多少等情况选择合理的治疗方案,保守治疗方案对瘢痕妊娠患者的治疗疗效显著,值得推广。

Objective To discuss the clinical efect of diferent treatment way for Uterine scar pregnancy.Methods Selected January 2015 to 2016 January in our hospital and Beijing Ditan hospital were cesarean section postoperative patients with CSP 50 cases as the research object,and divided randomly to three groups,the frst group and the second group respectively patients,17,the third group with 16 patients.The frst group to take conservative treatment.The second group take the surgical treatment and the third group take intervention and surgical treatment options.Compared with three groups of treatment efcacy and outcome of the situation.Results Three groups total efective rate were 94.11%,76.47% and 87.50%,respectively.The frst group has the highest efcient .The incidence of bleeding,pelvic and abdominal adhesion rate of the frst group was lower than those of the second and the third group.The diferences were all statistically signifcant （P〈0.05）.Conclusion According to the depth and area of placenta increta,choose the reasonable treatment for Uterine scar pregnancy is very importan.And the conservative therapy is obvious and remarkable,so it is worth promoting.