瘢痕妊娠介入治疗联合宫腔镜电切的疗效及安全分析

Efficacy and Safety Analysis of Interventional Therapy Combined Hysteroscopic Resection in the Treatment of Scar Pregnancy

目的:探究瘢痕妊娠介入治疗联合宫腔镜电切的临床效果和安全性。方法:比较40例瘢痕妊娠患者采用介入治疗联合宫腔镜电切与单独介入治疗的效果与安全性方面的差异。结果:在临床指标方面,对照组阴道出血量显著低于观察组(P<0.05),观察组β-h CG恢复时间、月经来潮时间、痊愈时间均显著优于对照组(P<0.05);在治疗效果方面,治疗前两组妊娠包块大小和β-h CG差异均无统计学意义(P>0.05),治疗后观察组均明显优于对照组(P<0.05)。观察组治疗有效率为90.00%,对照组为65.00%,观察组高于对照组(P<0.05)。结论:瘢痕妊娠采用介入治疗联合宫腔镜电切安全性高,效果良好,具有较高的推广价值。

Objective:To study the clinical effect and safety of interventional therapy combined hysteroscopic resection in the treatment of scar pregnancy.Method:The clinical effect and safety of forty patients with scar pregnancy treated with interventional therapy combined with hysteroscopic resection and interventional therapy were compared.Result:In the clinical index,the vaginal bleeding of the control group was significantly lower than that of the observation group(P<0.05),the recovery time ofβ-hCG,the time of menstrual cramps and recovery time of the observation group were significantly better than those of the control group(P<0.05).In the treatment effect,there were no significant differences in gestational mass size andβ-hCG between two groups before treatment(P>0.05),and the observation group were significantly better than those of the control group after treatment(P<0.05).The total effective rate of the observation group was 90.00%,the control group was 65.00%,the observation group was higher than that of the control group(P<0.05).Conclusion:Interventional therapy combined with hysteroscopic resection in the treatment of scar pregnancy is safe and effective,and it has a high promotion value.