剖宫产术后子宫瘢痕妊娠经腹腔镜手术与宫腔镜手术治疗的临床疗效对比

目的 比较腹腔镜手术和宫腔镜手术治疗剖宫产术后子宫瘢痕妊娠的临床效果。方法将在我院接受治疗的50例剖宫产术后子宫瘢痕妊娠患者按照治疗方式分为2组，分别采用腹腔镜手术和宫腔镜手术，比较2组患者治疗成功率和术中术后相关指标。结果腹腔镜患者和宫腔镜患者比较，出血量较多，手术时间也较长，差异具有统计学意义(P<0.05)；术后腹腔镜患者血β-hCG水平恢复正常时间和月经恢复时间短于宫腔镜组，差异有统计学意义(P<0.05)；2组患者总住院时间、治疗成功率、阴道出血时间比较，差异无统计学意义(P>0.05)。结论2组治疗方式各有优缺点，在临床中治疗剖宫产术后子宫瘢痕妊娠患者时，要根据患者自身的实际情况来决定，均能取得较为满意的疗效。

Objective To compare the clinical effect of laparoscopy and hysteroscopy in the treatment of uterine scar pregnancy after cesarean section.Methods50cases of cesarean scar pregnancy in our hospital were divided into two groups according to the treatment.Laparoscopic surgery and hysteroscopic surgery were performed respectively.The success rate of treatment and related indicators in the two groups were compared.Results compared with patients with laparoscopy and hysteroscopy,amount of bleeding,the operation time is longer,the difference was statistically significant(P<0.05);postoperative patients with laparoscopic beta-hCG levels returned to normal time and menstrual recovery time is shorter than the hysteroscopy group,the difference is significant(P<0.05);two patients total hospitalization time,success rate the vaginal bleeding time were not significantly different(P>0.05).Conclusion the two groups have their own advantages and disadvantages.In clinical treatment of cesarean scar pregnancy,they should be decided according to their actual situation,and all of them can achieve satisfactory results.