剖宫产术后子宫瘢痕处妊娠的临床分析

Clinical Analysis of Cesarean Scar Pregnancy after Cesarean Section

目的探析剖宫产术后子宫瘢痕处妊娠的临床处理。方法 2014年11月~2016年10月期间。我院收治剖宫产术后子宫瘢痕处妊娠患者60例,将其作为本次研究对象,将其随机分为对照组及观察组,其中对照组30例,给予其宫腔镜清宫术治疗,观察组30例,依照患者分型给予其相应腹腔镜手术治疗。对两组患者临床效果予以对比。结果在治愈成功率上,观察组远高于对照组(96.67%>76.67%),其差异具有统计学意义(P<0.05)。两组患者住院时间无较大差异(P>0.05);但在手术时长、术中出血、β-HCG恢复等临床指标上,对照组则明显不如观察组(P<0.05)。结论依据患者分型,为其选择合适的腹腔镜手术治疗方式,可有效确保其临床治愈有效性。

Objective To investigate the cesarean scar pregnancy after cesarean section.Methods A total of 60 pregnant women with uterine scar after cesarean section were divided into the observation group and control group by coin method from November 2014 to October 2016,30 cases in each group.The control group was treated with hysteroscopy.The observation group received laparoscopic surgery.The clinical effect was compared between the two groups.Results The cured rate in the observation group was higher than that in the control group(96.67%vs 76.67%,P<0.05).There was no significant difference in hospitalization time between the two groups(P>0.05).Operation time,intraoperative bleeding,andβ-HCG level in the observation group were better than the control group(P<0.05).Conclusion The appropriate laparoscopic surgical treatment can improve the clinical effect in pregnant women with uterine scar after cesarean section.