宫腔镜治疗剖宫产术后子宫瘢痕妊娠的有效性研究

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

目的:探讨宫腔镜治疗剖宫产术后子宫瘢痕妊娠的有效性。方法:选取2018年2月至2018年12月期间东莞市东华医院妇科收治的剖宫产术后子宫瘢痕妊娠患者共84例为研究对象,根据数字表法进行随机分组,包括对照组42例及观察组42例。对照组患者行常规清宫术治疗,观察组患者开展宫腔镜手术治疗,比较两组患者临床疗效,手术时间、出血量、月经恢复时间、人绒毛膜促性腺激素(β–HCG)恢复时间、住院时间等围手术期指标。结果:观察组患者临床总有效率95.24%显著高于对照组患者的76.19%,差异具有统计学意义(P <0.05);观察组患者手术时间、出血量、月经恢复时间、β–HCG恢复时间、住院时间均少于对照组患者,差异具有统计学意义(P <0.05)。结论:宫腔镜手术对剖宫产术后子宫瘢痕妊娠患者具有良好的临床疗效,可有效促进患者月经恢复,缩短患者住院时间,对患者的康复具有积极影响。

Objective To explore the effectiveness of hysteroscopy in the treatment of uterine scar pregnancy after cesarean section.Method From February 2018 to December 2018,84 cases of uterine scar pregnancy after cesarean section were randomly divided into control group(42 cases)and observation group(42 cases).Patients in the control group were treated with routine hysteroscopy,while patients in the observation group were treated with hysteroscopy.The clinical efficacy,operation time,bleeding volume,menstrual recovery time,recovery time of human chorionic gonadotropin(β–HCG),hospitalization time and other perioperative indicators were compared between the two groups.Result The clinical efficacy of the observation group was significantly higher than that of the control group(95.24%vs 76.19%,P<0.05).The operation time,bleeding volume,menstrual recovery time,β–HCG recovery time and hospitalization time of the observation group were less than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Hysteroscopy has a good clinical effect on patients with uterine scar pregnancy after cesarean section.It can effectively promote the recovery of menstruation and shorten the hospitalization time of patients.It has a positive impact on the rehabilitation of patients.