经阴道切除子宫下段切口瘢痕处妊娠病灶的临床观察

Clinical observation of transvaginal lesions excision in lower uterine segment scar pregnancy

目的探讨经阴道手术切除病灶在子宫下段切口瘢痕处妊娠(CSP)中的可行性和临床应用效果。方法对16例子宫下段切口瘢痕处妊娠患者施行经阴道手术切除病灶,观察术中出血情况、手术时间、术后恢复情况、并发症情况,并观察术后血β-HCG的变化和月经恢复时间等。结果 16例患者手术均获成功,术中出血均<100 m L,手术时间不超过1 h;术后患者均恢复良好痊愈出院,无并发症出现;术后平均14.9 d血β-HCG转阴;出院后随访,患者均未出现并发症,月经在6周内复潮。结论经阴道切除子宫下段切口瘢痕处妊娠病灶是一种安全、有效、微创、经济的临床治疗方法。

Objective To explore the feasibility and clinical efficacy of transvaginal lesions excision in lower uterine segment scar pregnancy. Methods Sixteen patients with lower uterine seg- ment scar pregnancy underwent transvaginal lesion resection, intraoperative bleeding, operation time and postoperative recovery, and complications were observed, and the changes of serum β-HCG and recovery pf menstruation of two groups after operation were observed. Results All the sixteen pa- tients had successful operations, with intraoperative bleeding less than 100 mL and operation time less than 1 h. After operation, the patients recovered well, without complications. The clearance rate of blood β-HCG occurred at 14.9 d. The follow-up after discharge showed no complications occurred and menstruation recovered 6 weeks. Conclusion Transvaginal lesions excision, a minimally invasive operation, is a safe, effective, and economical operation.