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不同方式治疗剖宫产术后子宫疤痕妊娠的临床效果分析 被引量:8

Clinical effects of different ways on cesarean scar pregnancy patients after cesarean section
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摘要 目的:探讨不同方式治疗剖宫产术后子宫疤痕妊娠的临床效果。方法:选择某院接受治疗的90例瘢痕妊娠患者进行分组,每组各30例。A组患者给予子宫动脉栓塞介入联合清宫术治疗,B组患者给予宫腔镜下病灶切除术治疗,C组患者给予腹腔镜下/开腹子宫病灶切除术治疗,比对3组患者的血清β-HCG恢复正常时间、月经恢复时间、住院时间、出血量情况以及不良反应发生率。结果:A组患者的血清β-HCG恢复正常时间、月经恢复时间以及住院时间均较B,C 2组患者明显缩短,C组患者时间最长(P<0.05);A组患者术中出血量和术后出血量均较B,C 2组患者显著减少,C组患者出血量最多(P<0.05);A组患者不良反应发生率与B,C 2组相比较明显降低(P<0.05),B,C 2组比较差异无统计学意义(P>0.05)。结论:剖宫产术后子宫疤痕妊娠应用子宫动脉栓塞治疗,效果显著,有研究价值。 Objective: To explore and observe the clinical effects of different ways on cesarean scar pregnancy patients after cesarean section.Methods: 90 cesarean scar pregnancy patients treated in a hospital were enrolled and divided into 3 groups,each with 30 cases.Group A was given uterine artery embolization with complete curettage of uterine cavity; Group B underwent lesionectomy under hysteroscopy; Group C was treated by lesionectomy of laparoscope.The normal returning time of serum β-HCG,the menstrual recovery time,the time of hospitalization,the amount of bleeding and the incidence of adverse reactions among the three groups were recorded and compared.Results: The normal returning time of serum β-HCG,the menstrual recovery time and the time of hospitalization in Group A were significantly shorter than those in Group B and Group C,with the longest in Group C( P〈0.05). There less amount of bleeding in Group A than in Group B and Group C,with the largest amount in Group C( P〈0.05). The incidence of adverse reactions in Group A was significantly lower than that in Group B and Group C( P〈0. 05) and no significant difference was found between Group B and Group C( P〈0.05).Conclusion: Application of uterine artery embolization on cesarean scar pregnancy patients after cesarean section shows obvious effects. It is well worth to be researched.
作者 陈晓庆 薛金玲 CHEN Xiao-qing;XUE Jin-ling(Department of Obstetrics and Gynecology,The First People's Hospital of Yancheng City,Jiangsu 224001,China)
出处 《淮海医药》 CAS 2018年第4期423-426,共4页 Journal of Huaihai Medicine
关键词 妊娠 异位 疤痕 子宫动脉栓塞 病灶切除术 Pregnancy eetopie Scar Uterine artery embolization Lesioneetomy
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