腹腔镜下妊娠病灶清除术+双侧子宫动脉阻断术治疗子宫瘢痕妊娠疗效分析

Analysis of the effect of laparoscopic pregnancy lesion removal combined with bilateral uterine artery occlusion in the treatment of uterine scar pregnancy

目的:探讨腹腔镜下妊娠病灶清除术+双侧子宫动脉阻断术治疗子宫瘢痕妊娠的疗效。方法:收治剖宫产术后瘢痕妊娠患者118例,分两组,腹腔镜组在腹腔镜下行子宫瘢痕妊娠病灶清除术+双侧子宫动脉阻断术,开腹组常规行开腹手术,分析两组术前一般情况、手术时间、平均住院天数、术中出血量、并发症、术后恢复情况。结果:腹腔镜组较开腹组手术时间短、术中出血量少、平均住院时间短、术后阴道出血时间少、宫内妊娠率高(P<0.05)。结论:腹腔镜下妊娠病灶清除术+双侧子宫动脉阻断术可切除病灶、保留子宫,减少出血,是治疗子宫瘢痕妊娠的一种有效、经济的方法。

Objective:To investigate the effect of laparoscopic pregnancy lesion removal combined with bilateral uterine arteryocclusion in the treatment of uterine scar pregnancy.Methods:118 cases of scar pregnancy after cesarean section were selected.They were divided into the two groups.The laparoscopic group was treated with laparoscopic pregnancy lesion removal combinedwith bilateral uterine artery occlusion,while the open group underwent open surgery.We analyzed the preoperative generalcondition,operation time,average length of stay,intraoperative blood loss,complications,and postoperative recovery of each patient.Results:Compared with the open group,the laparoscopic group had shorter operation time,less blood loss,shorter average hospitalstay,less vaginal bleeding time,and higher intrauterine pregnancy rate(P<0.05).Conclusion:Laparoscopic pregnancy lesionremoval combined with bilateral uterine artery occlusion can remove the lesion,retain the uterus,reduce bleeding,which is aneffective and economical method for treatment of uterine scar pregnancy.