暨南大学学报（自然科学与医学版）
暨南大學學報（自然科學與醫學版）
기남대학학보（자연과학여의학판）
JOURNAL OF JINAN UNIVERSITY（NATURAL SCIENCE & MEDICINE EDITION）
2013年
6期
632-635
,共4页
剖宫产术%疤痕妊娠%结局
剖宮產術%疤痕妊娠%結跼
부궁산술%파흔임신%결국
Cesarean section%scar pregnancy%outcome
目的：探讨误诊对剖宫产术后疤痕妊娠结局的影响。方法：分析40例剖宫产切口疤痕妊娠的住院病历，初诊未诊断为疤痕妊娠的16例作为观察组，初诊确诊的24例作为对照组，对比分析两组患者入院前出血量、术前血β-HCG水平、住院时间、住院费用、术中出血量、休克发生率及并发症的差异。结果：观察组术前血β-HCG值（10960.38±19639.88）IU/L，与对照组（44455.78±60074.90）IU/L相比较，经秩和检验有统计学差异（P＜0.05）；与对照组相比较，观察组住院时间（11±7）d、入院前出血量观察组（平均秩为4.50）、术中出血量（395.00±708.98）mL及住院费用（11260.86±7750.07）元，经秩和检验无统计学差异（P＞0.05）；观察组休克发生率（14.29％）与对照组（4.35％），经卡方检验无统计学差异（P＞0.05）；两组均未出现子宫破裂及腹腔大出血。结论：剖宫产切口疤痕妊娠患者经积极处理多能避免严重并发症子宫破裂及腹腔大出血的发生。
目的：探討誤診對剖宮產術後疤痕妊娠結跼的影響。方法：分析40例剖宮產切口疤痕妊娠的住院病歷，初診未診斷為疤痕妊娠的16例作為觀察組，初診確診的24例作為對照組，對比分析兩組患者入院前齣血量、術前血β-HCG水平、住院時間、住院費用、術中齣血量、休剋髮生率及併髮癥的差異。結果：觀察組術前血β-HCG值（10960.38±19639.88）IU/L，與對照組（44455.78±60074.90）IU/L相比較，經秩和檢驗有統計學差異（P＜0.05）；與對照組相比較，觀察組住院時間（11±7）d、入院前齣血量觀察組（平均秩為4.50）、術中齣血量（395.00±708.98）mL及住院費用（11260.86±7750.07）元，經秩和檢驗無統計學差異（P＞0.05）；觀察組休剋髮生率（14.29％）與對照組（4.35％），經卡方檢驗無統計學差異（P＞0.05）；兩組均未齣現子宮破裂及腹腔大齣血。結論：剖宮產切口疤痕妊娠患者經積極處理多能避免嚴重併髮癥子宮破裂及腹腔大齣血的髮生。
목적：탐토오진대부궁산술후파흔임신결국적영향。방법：분석40례부궁산절구파흔임신적주원병력，초진미진단위파흔임신적16례작위관찰조，초진학진적24례작위대조조，대비분석량조환자입원전출혈량、술전혈β-HCG수평、주원시간、주원비용、술중출혈량、휴극발생솔급병발증적차이。결과：관찰조술전혈β-HCG치（10960.38±19639.88）IU/L，여대조조（44455.78±60074.90）IU/L상비교，경질화검험유통계학차이（P＜0.05）；여대조조상비교，관찰조주원시간（11±7）d、입원전출혈량관찰조（평균질위4.50）、술중출혈량（395.00±708.98）mL급주원비용（11260.86±7750.07）원，경질화검험무통계학차이（P＞0.05）；관찰조휴극발생솔（14.29％）여대조조（4.35％），경잡방검험무통계학차이（P＞0.05）；량조균미출현자궁파렬급복강대출혈。결론：부궁산절구파흔임신환자경적겁처리다능피면엄중병발증자궁파렬급복강대출혈적발생。
Aim:To investigate the outcomes of the misdiagnosis of cesarean scar pregnancies.Meth-ods:Analysis of 40 cesarean scar pregnancies medical records,1 6 cases of first undiagnosed as scar pregnancy in the observation group,24 cases of first diagnosed as scar pregnancy in the control group, comparative analysis of the differences between the two groups patients about the amount of bleeding be-fore admission,preoperative blood β-HCG levels,hospitalization time,hospital costs,intraoperative blood loss,the incidences and complications of shock.Results:The observation group preoperative ser-um β-HCG values (1 0 960.38 ±1 9 639.88 )IU/L,compared with the control group (44 455.78 ± 60 074.90)IU/L,there was significantly difference compared by the rank sum test (P<0.05 ).The hospitalization time in observation group (1 1 ±7 )d,the amount of bleeding before admission (mean rank 4.50),blood loss (395.00 ±708.98)mL and hospitalization costs (1 1 260.86 ±7 750.07)yuan, all those compared with the control group,there was no significantly difference by the rank sum test (P>0.05 ).Incidence of shock in the observation group (1 4.29%)and the control group (4.35%),the chi-square test showed that there was no significant difference (P>0.05 );uterine rupture and severe bleeding were not occurred in the two groups.Conclusion:cesarean scar pregnancy after active treatment can avoid more serious complications such as uterine rupture and severe bleeding.
