超声引导下刮宫术联合宫腔水囊压迫法对子宫瘢痕妊娠的疗效观察

Effect of Ultrasound-guided Curettage Combined with Intrauterine Water Sac Compression on Scar Pregnancy of Uterus

目的探讨超声引导下刮宫术联合宫腔水囊压迫法对子宫瘢痕妊娠的治疗效果。方法选取我院2017年2月至2018年5月收治的48例子宫瘢痕妊娠患者作为研究对象,根据治疗方法不同分成研究组(24例)和对照组(24例),其中对照组采用超声引导下刮宫术治疗,研究组采用超声引导下刮宫术联合宫腔水囊压迫法治疗,比较两组患者术中及术后24 h出血量;分析两组患者的住院时间,月经恢复时间及β-人绒毛膜促性腺激素(β-hCG)恢复至正常水平的时间;比较两组患者的不良反应发生率。结果研究组的术中及术后24 h出血量分别为(73.93±21.43)mL,(29.67±9.75)m L,明显低于对照组的(119.44±30.74)m L,(44.22±11.32)mL,两组差异比较有统计学意义(P<0.05)。结论超声引导下刮宫术联合宫腔水囊压迫法治疗子宫瘢痕妊娠疗效确切,操作简便,费用低廉,值得在临床大力推广。

Objective To investigate the effect of ultrasound-guided curettage combined with intrauterine water sac compression on the treatment of uterine scar pregnancy.Methods From February 2017 to May 2018 were 48 cases of uterine scar pregnancy patients as the research object,according to different divided into treatment group(24 cases)and control group(24 cases),including the control group treated with curettage surgery under the guidance of ultrasound,the team using ultrasonic guided uterine cavity water sac compression method and curettage surgery combined therapy,compared two groups of patients 24 h intraoperative and postoperative blood loss;The length of hospital stay,menstrual recovery time,and time to return to normal levels of human chorionic gonadotropin-hcg were analyzed in both groups.The incidence of adverse reactions was compared between the two groups.Results The intraoperative and 24 h postoperative blood loss in the study group were(73.93±21.43)mL,(29.67±9.75)mL,significantly lower than the control group(119.44±30.74)mL,(44.22±11.32)mL,the difference between the two groups was statistically significant(P<0.05).Conclusion Ultrasound-guided curettage combined with intrauterine hydrocyst compression in the treatment of uterine scar pregnancy has definite efficacy,simple operation and low cost.