剖宫产术后子宫瘢痕妊娠不同治疗方法的效果对比

Comparison of different treatment methods of uterine scar pregnancy after cesarean section

目的 对不同治疗方式对剖宫产术后子宫瘢痕妊娠患者的疗效进行对比分析。方法 选取宫产术后子宫瘢痕妊娠患者56例,将其按抽签法分为研究组(腹腔镜病灶清除术)和对照组(清宫术联合子宫动脉栓塞术),各28例,比较两组各项指标。结果 两组手术、住院及疼痛缓解时间进行比较,观察组短于对照组;两组术中出血量进行比较,观察组少于对照组;与术前3 d比较,术后7~14 d两组血清β-人绒毛膜促性腺激素(β-HCG)水平均呈降低趋势,且研究组均低于对照组,同时研究组血清β-HCG恢复正常的时间短于对照组;研究组术后14 d内并发症总发生率为7.14%,低于对照组的28.57%,差异具有统计学意义(P<0.05)。结论 剖宫产术后子宫瘢痕妊娠患者应用腹腔镜病灶清除术可调节血清β-HCG水平,缩短术后恢复时间,且安全性高。

Objective To compare and analyze the effects of different treatment methods on patients with uterine scar pregnancy after cesarean section. Methods 56 cases of uterine scar pregnancy after cesarean section were selected and divided into study group(laparoscopic focus removal) and control group(curettage combined with uterine artery embolization), with 28 cases in each group. The indicators of two groups were compared. Results The operation, hospitalization and pain relief time of the two groups were compared, the observation group was shorter than the control group;the amount of intraoperative bleeding in the observation group was less than that in the control group;compared with 3 days before operation, the serum β-human chorionic gonadotropin(β-HCG) levels in the two groups showed a decreasing trend from 7 to 14 days after the operation, and the study group was lower than the control group;at the same time, the time for serum β-HCG return to normal in the study group was shorter than that in the control group;the total incidence of complications in the two groups within 14 days after operation was compared,7.14% in the study group was lower than 28.57% in the control group, and the differences were statistically significant(P<0.05).Conclusion Laparoscopic debridement of uterine scar pregnancy after cesarean section can regulate serum β-HCG level, shorten postoperative recovery time, and is safe.