腹腔镜下不同术式治疗剖宫产瘢痕妊娠的临床效果

Clinical effects of different operative methods under laparoscope in the treatment of cesarean scar pregnancy

目的探讨腹腔镜下不同术式治疗剖宫产瘢痕妊娠的临床效果。方法对我院2014—2015年收治的51例剖宫产瘢痕妊娠患者的临床资料进行回顾性分析,将所有患者按治疗方式分为介入组(n=21)和腹腔镜组(n=30)。介入组患者给予双侧子宫动脉栓塞术治疗,腹腔镜组患者给予腹腔镜下不同术式治疗。比较两组患者的临床效果。结果腹腔镜组患者住院总费用、住院时间、术中出血量、血HCG下降至正常时间和月经恢复时间均优于介入组(P<0.05)。结论腹腔镜治疗剖宫产瘢痕妊娠具有微创、疗效确切、经济等优点,是一种值得临床推广的治疗方法。

Objective To investigate the therapeutic effect of different operative methods under laparoscope in thetreatment of cesarean scar pregnancy. Methods The clinical data of 51 cesarean scar pregnancy patients admitted in ourhospital from 2014 to 2015 were retrospectively analyzed, all the patients were divided into intervention group （n=21） andlaparoscope group （n=30） with treatment methods. The intervention group was given bilateral uterine artery embolization,and the laparoscope group was treated with different operative methods under laparoscope. The clinical effects werecompared between the two groups. Results The total cost of hospitalization, hospital stays, intraoperative blood loss, bloodHCG decreased to normal time and menstrual recovery time in the laparoscope group were better than those in theintervention group （P〈0.05）. Conclusion Laparoscopic in the treatment of cesarean scar pregnancy has the advantages ofminimally invasive, effective and economic, which is a treatment method worthy of popularizing in clinic.