应用宫腔镜治疗剖宫产术后子宫瘢痕妊娠的临床有效性研究

Clinical Effectiveness of Hysteroscopy in the Treatment of Uterine Scar Pregnancy after Cesarean Section

目的:观察宫腔镜手术治疗剖宫产术后子宫瘢痕妊娠(cesarean scar pregnancy,CSP)的临床效果。方法:回顾性分析2019年10月~2020年10月某院治疗的66例CSP患者临床资料,依据治疗方法的不同将其分为研究组和对照组各33例,将接受宫腔镜手术治疗的患者临床资料设为研究组,将接受腹腔镜下瘢痕妊娠病灶切除术治疗的患者临床资料设为对照组,比较两组临床指标及并发症。结果:研究组手术时间、血HCG恢复正常的时间短于对照组,术中出血量、并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:CSP患者接受宫腔镜手术治疗是安全可行的,且有良好的治疗效果,值得临床进一步应用和推广。

Objective:To observe the clinical effect of hysteroscopic surgery for cesarean scar pregnancy(CSP)after cesarean section.Methods:The clinical data of 66 patients with CSP treatment from October 2019 to October 2020 were retrospectively analyzed.According to the different method of treatment,the patients were divided into study group(hysteroscopy surgery)and control group(laparoscopic scar pregnancy lesions resection),with 33 cases in each group.The clinical indicators and complications between the two groups were compared.Results:The time of operation and the time of blood HCG returned to normal in the study group were shorter than those in the control group,and the amount of bleeding and the incidence of complications were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion:Hysteroscopic surgery for CSP patients is safe and feasible,and has a good therapeutic effect,which is worthy of further clinical application and promotion.