阴式病灶清除术联合子宫修补术治疗瘢痕妊娠效果及对患者恢复的影响

Effect of vaginal lesion clearance combined with uterine repair in the treatment of scar pregnancy and its impact on patient recovery

目的:探讨阴式病灶清除术联合子宫修补术治疗瘢痕妊娠效果及对患者恢复的影响。方法:回顾性分析2022年1月至2023年8月期间本院收治的85例瘢痕妊娠患者的临床资料。依据治疗方法将患者分为对照组(45例,子宫动脉栓塞术联合清宫术)和观察组(40例,阴式病灶清除术联合子宫修补术)。比较两组治疗成功率,术后恢复情况[住院时间、术后随诊月经恢复时间、血人绒毛膜促性腺激素β亚单位(Human chorionic gonadotrophin,β-HCG)值恢复时间];术后3 d并发症发生率。结果:观察组治疗成功率明显高于对照组(P<0.05)。较对照组,观察组住院时间、月经恢复时间、血β-HCG值恢复正常时间均明显缩短(P<0.05)。术后3 d,观察组的并发症发生率明显低于对照组(P<0.05)。结论:阴式病灶清除术联合子宫修补术治疗瘢痕妊娠,能提高治疗成功率,促进患者的术后恢复,减少术后并发症。

Objective:To explore the effect of vaginal lesion clearance surgery combined with uterine repair surgery on scar pregnancy and its impact on patient recovery.Methods:A retrospective analysis was conducted on the clinical data of 85 patients with scar pregnancy admitted to our hospital from January 2022 to August 2023.According to the treatment method,patients were divided into a control group(45 cases,uterine artery embolization combined with curettage)and an observation group(40 cases,vaginal lesion removal combined with uterine repair).The success rates,postoperative recovery status[length of hospital stay,postoperative follow-up menstrual recovery time,recovery time of blood human chorionic gonadotropin β subunit(β-HCG)],and the incidence of complications 3 days after operation were compared between the two groups.Results:The success rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).Compared with the control group,the observation group showed significantly shorter hospital stay,menstrual recovery time,and time for bloodβ-HCG values returning to normal(P<0.05).Three days after operation,the incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:The combination of vaginal lesion removal and uterine repair can improve the success rate of treatment for scar pregnancy,promote postoperative recovery of patients,and reduce postoperative complications.