对比子宫瘢痕妊娠中清宫术与宫腹腔镜联用的效果

Comparison of the Effect of Uterine Curettage Combined with Laparoscopic Surgery on Uterine Scar Pregnancy

目的分析子宫瘢痕妊娠中联合应用清宫术、宫腹腔镜的临床效果。方法选择该院于2018年4-12月期间收治的子宫瘢痕妊娠患者70例,借助计算机随机分组的方式,将患者划分为联合组(35例患者)以及清宫术组(35例患者),清宫术组患者接受宫腔镜下清宫术治疗,联合组患者在基于对照组患者治疗方案同时被施以腹腔镜引导下的子宫动脉栓塞术治疗,比对两组患者的临床治疗指标,包括术中出血量、阴道流血时间、血β-HCG恢复正常时间以及住院时间。结果联合组患者的术中出血量为(69.12±7.23)mL,阴道流血时间(5.10±1.46)d,血β-HCG恢复正常时间(19.45±5.23)d,住院时间(7.56±2.12)d;清宫术组患者的术中出血量为(107.54±9.76)mL,阴道流血时间(7.86±2.31)d,血-HCGβ恢复正常时间(28.78±7.75)d,住院时间(14.65±2.76)d;两组患者的相应数据比较,组间差异有统计学意义(t=18.713、5.975、5.904、12.052,P<0.05)。结论在子宫瘢痕妊娠临床治疗期间,联合应用宫腔镜下清宫术与腹腔镜子宫动脉栓塞术,效果确切,而且可以加快患者康复,临床应对此进行推广、使用。

Objective To compare and analyze the clinical effects of combined application of uterine curettage and laparoscopic surgery on uterine s car pregnancy. Methods Seventy patients with uterine scar pregnancy admitted to our hospital from April to December 2018 were enrolled. The patients were divided into the combined group(35 patients)and the curettage group(35 patients) by computerization. Patients in the curettage group received hysteroscopic uterine curettage, and patients in the combined group were treated with laparoscopically guided uterine artery embolization based on the treatment plan of the control group. The clinical treatment indicators of the two groups, including intraoperative blood loss, vaginal bleeding time, blood-HCG recovery time and hospitalization time were compared. Results In the combined group, the intraoperative blood loss was(69.12±7.23)mL, vaginal bleeding time was(5.10±1.46) d, bloodHCG recovery time was(19.45±5.23)d, hospitalization time was(7.56±2.12)d. In the curettage group, the intraoperative blood loss was(107.54±9.76)mL, vaginal bleeding time(7.86±2.31)d, blood-HCG returning to normal time(28.78±7.75)d, hospitalization time(14.65 ±2.76)d. The difference between the two groups was statistically significant(t =18.713,5.975, 5.904, 12.052, P<0.05). Conclusion During the clinical treatment of uterine scar pregnancy, the effect of combined use of uterine curettage and laparoscopic uterine artery embolization is significant, which can accelerate the recovery of patients, and is worthy of the clinical promotion.