剖宫产瘢痕妊娠52例临床分析

目的探讨不同手术方法治疗瘢痕妊娠临床疗效的差异。方法选择2014年11月1日至2016年10月31日在民航总医院妇产科治疗的瘢痕妊娠患者52例,根据治疗方法分为三组,(1)B超引导下清宫术(A组)15例。(2)双侧子宫动脉栓塞后B超引导下清宫术(B组)18例。(3)病损切除术(C组)19例。比较差异。结果 C组患者停经时间长于A、B组,且B超下胎囊大小大于A、B组(P<0.05),A组患者瘢痕厚度厚于B、C组(P<0.05)。结论向宫腔生长的早期胎囊型病例,直接清宫术仍是一种最简便,最经济有效的治疗方法。

Objective:To explore the difference of clinical curative effect of different surgical methods in the treatment of scar pregnancy.Methods:Fifty-two patients with scar pregnancy were treated with obstetrics and gynecology from October 1,2014 to October 31,2016.According to the treatment method,the patients were divided into three groups:(1)example.(2) Bilateral ultrasonography after abdominal uterine artery embolization(B group)in 18 cases.(3) 19 cases of lesion surgery(group C).Compare the difference.Results:The time of menopause in group C was longer than that in group A and B,and the size of B was higher than that of group A and B(P<0.05).The thickness of scar in group A was higher than that in group B and C(P<0.05).Conclusion:It is still the most simple and economical method to treat the early stage of fetal sac in the uterine cavity.