糖尿病妇女剖宫产后瘢痕妊娠27例治疗分析

Analysis of Treatment of 27 Cases of Diabetes Women with Scar Pregnancy after the Cesarean Section

目的探讨糖尿病妇女剖宫产后瘢痕妊娠的治疗方法。方法选取该科2017年6月—2018年6月收治的糖尿病合并CSP患者27例,分别进行药物、腹腔镜、经腹手术治疗并观察。结果 3组治疗后FPG、2 hPG差异无统计学意义(P>0.05);腹腔镜和经腹手术治疗阴道流血量与β-HCG恢复正常时间明显优于药物治疗(P<0.05)。结论加强对糖尿病妇女CSP的认识,早诊断,根据患者病情选择合理治疗方法,控制血糖,从而改善预后。

Objective To study the treatment method of diabetes women with scar pregnancy after the cesarean section. Methods 27 eases of patients with diabetes combined with CSP admitted and treated in our department from June 2017 to June 2018 were selected for drugs, laparoscopy and transabdominal surgetT and observation. Results After treatment, the differences in the FPG and 2 hPG between the three groups were not obvious （P〉0.05）, and the laparoseopy and transab- dominal surgery in treatment of vaginal bleeding volume and β-HCG returning to normal time were obviously better than those of drugs treatment （P〈0.05）. Conclusion We should enhance the recognition of diabetes women to CSP, and conduct the early diagnosis, and select the rational treatment method according to the diseases of patients and control the blood glucose thus improving the prognosis.