宫腔镜检查指导清宫术治疗剖宫产瘢痕妊娠的有效性研究

The Efficacy of Hysteroscopy in the Treatment of Cesarean Section Scar Pregnancy

目的探讨宫腔镜检查指导清宫术治疗剖宫产瘢痕妊娠的有效性研究。方法方便选取2016年12月—2018年10月来该院进行剖宫产瘢痕妊娠治疗的患者82例,随机分为两组,对照组应用清宫术治疗,研究组在宫腔镜的指导下进行剖宫术治疗。结果研究组的住院时间(t=11.47,P=0.03)、手术时间(t=14.37,P=0.02)、血β-HCG转阴时间(t=15.39,P=0.02)以及阴道流血时间(t=11.09,P=0.04)明显比对照组短,术中出血量(t=16.37,P=0.01)明显少于对照组(P<0.05);研究组的治疗有效率为95.12%,对照组的治疗有效率为85.37%,研究组的治疗有效率显著高于对照组(t=6.084,P<0.05)。结论使用宫腔镜检查指导清宫术治疗剖宫产瘢痕妊娠,能够有效的减少患者的出血情况,减少手术时间,对患者的创伤较小,提高患者的治疗效果。

Objective To investigate the efficacy of hysteroscopy in the treatment of cesarean scar pregnancy. Methods A total of 82 patients with cesarean scar pregnancy treated in our hospital from December 2016 to October 2018 were convenient randomly divided into two groups. The control group was treated with uterine curettage. The study group underwent hysteroscopic guidance cesarean surgery. Results The hospitalization time of the study group (t=11.47, P=0.03), operation time (t=14.37, P=0.02), blood β-HCG negative time (t=15.39, P=0.02) and vaginal bleeding time (t=11.09, P=0.04) was significantly shorter than the control group. The intraoperative blood loss (t=16.37, P=0.01) was significantly lower than that of the control group(P<0.05). The therapeutic effective rate of the study group was 95.12%. The effective rate of treatment was 85.37%, and the treatment efficiency of the study group was significantly higher than that of the control group (t=6.084, P<0.05). Conclusion The use of hysteroscopy to guide the treatment of cesarean scar pregnancy can effectively reduce the bleeding of patients, reduce the operation time, less trauma to patients, and improve the treatment effect of patients.