比较介入联合清宫术与药物联合清宫术治疗剖宫产术后子宫瘢痕妊娠的临床效果及安全性

Clinical Efficacy and Safety Comparison of Intervention Combined Curettage and Drug Combined Curettage in the Treatment of Scar Pregnancy after Cesarean

目的:比较介入联合清宫术与药物联合清宫术治疗剖宫产术后子宫瘢痕妊娠的临床效果及安全性。方法:选取某院2016年6月~2018年1月期间收治的剖宫产术后子宫瘢痕妊娠患者60例作为研究对象,按照患者的入院顺序,随机分为对照组和观察组,每组30例。对照组运用常规的药物联合清宫术治疗,观察组运用介入联合清宫术治疗,比较两组患者术中大出血、住院时间、不良反应发生率。结果:观察组患者的不良反应发生率与术中大出血发生率均低于对照组,差异具有统计学意义(P<0.05);观察组患者的住院时间明显短于对照组,差异具有统计学意义(P<0.05)。结论:在对剖宫产术后子宫瘢痕妊娠患者进行治疗时,介入联合清宫术的临床效果明显优于清宫术与药物联合方案,且患者的住院时间更短,不良反应发生较低,值得选用。

Objective:To compare the clinical efficacy and safety of intervention combined curettage and drug combined curettage in the treatment of scar pregnancy after cesarean. Methods:60 cases of uterine scar pregnancy treated in a hospital from June 2016 to January 2018 were selected as the subjects. According to the order of admission,the patients were randomly divided into the control group and the observation group,with 30 cases in each group. The control group was treated with routine drugs combined curettage,while the observation group was treated by intervention combined curettage. Intraoperative hemorrhage,hospitalization time and incidence of adverse reactions were compared between the two groups. Results:The incidence of adverse reactions and the incidence of large bleeding in the observation group were lower than those in the control group(P<0.05);The hospitalization time of the patients in the observation group was significantly shorter than that in the control group,and the difference was statistically significant(P<0.05). Conclusion:In the treatment of uterine scar pregnancy after cesarean section,the clinical effect of intervention combined curettage is superior to that of the drug combined curettage,and the patient’s hospitalization time is shorter and the adverse reaction is low,it is worth choosing.