不同手术方式治疗Ⅱ型剖宫产瘢痕部位妊娠的效果

Effect of different surgical methods on pregnancy in typeⅡcesarean section scars

目的:对Ⅱ型剖宫产瘢痕部位妊娠患者采用不同手术方法治疗的效果进行探究。方法:选择本院收治的Ⅱ型剖宫产瘢痕部位妊娠患者112例纳入本次研究,纳入时间从2019年11月至2020年12月。根据抽签法对研究对象予以分组,划分为甲组和乙组,每组各有56例。甲组接受常规清宫术,乙组患者接受宫腔镜手术。对比两组患者的治疗效果。结果:乙组的总有效率明显高于甲组,差异显著(P<0.05);乙组的住院时间、β-HCG转阴时间均明显低于甲组(P<0.05),月经恢复时间与甲组相比无明显差异(P>0.05)。结论:在Ⅱ型剖宫产瘢痕部位妊娠患者的治疗中,采用宫腔镜手术治疗效果确切,可以有效地促进患者的病情康复。

Objective:To explore the effects of different surgical treatments for pregnant patients with typeⅡcesarean section scars.Methods:112 pregnant patients with typeⅡcesarean section scars in our hospital were selected for inclusion in this study,and the enrollment period was from November 2019 to December 2020.According to the lottery method,these subjects were divided into Group A and Group B,with 56 cases in each group.Group A underwent conventional uterine evacuation,and Group B patients underwent hysteroscopic surgery.Compare the treatment effect of the two groups of patients.Results:The total effective rate of Group B was significantly higher than that of Group A,difference is significant(P<0.05);the hospitalization time andβ-HCG conversion time of Group B were significantly lower than those of Group A(P<0.05),and the menstrual recovery time was similar to that of Group A.There was no significant difference between the two groups(P>0.05).Conclusion:In the treatment of pregnant patients with typeⅡcesarean section scars,hysteroscopic surgery has a definite effect and can effectively promote the patient's recovery.