国际妇产科学杂志
國際婦產科學雜誌
국제부산과학잡지
JOURNAL OF INTERNATIONAL OBSTETRICS AND GYNECOLOGY
2014年
4期
438-440
,共3页
妊娠,异位%剖宫产术%妇科外科手术%剖宫产瘢痕妊娠
妊娠,異位%剖宮產術%婦科外科手術%剖宮產瘢痕妊娠
임신,이위%부궁산술%부과외과수술%부궁산반흔임신
Pregnancy,ectopic%Cesarean section%Gynecologic surgical procedures%Cesarean scar pregnancy
目的:探讨经阴道剖宫产术后子宫瘢痕妊娠(cesarean scar pregnancy,CSP)病灶切除手术的临床实用价值。方法:收集我院2012年9月-2013年9月收治的CSP患者6例,采用经阴道手术清除CSP病灶,观察术中出血量、术后血人绒毛膜促性腺激素(hCG)下降情况、住院时间及月经复潮情况。结果:6例手术均成功,无明显并发症,术后恢复良好,术中出血量20~50 mL,平均(28.33±11.25)mL;术后血hCG恢复正常时间为10~22 d,平均(16.83±4.21)d;住院时间为5~8 d,平均(6.50±1.05)d;月经恢复时间为26~58 d,平均(35.00±11.73)d。结论:经阴道CSP病灶切除术是一种安全经济、快速有效的治疗方法。
目的:探討經陰道剖宮產術後子宮瘢痕妊娠(cesarean scar pregnancy,CSP)病竈切除手術的臨床實用價值。方法:收集我院2012年9月-2013年9月收治的CSP患者6例,採用經陰道手術清除CSP病竈,觀察術中齣血量、術後血人絨毛膜促性腺激素(hCG)下降情況、住院時間及月經複潮情況。結果:6例手術均成功,無明顯併髮癥,術後恢複良好,術中齣血量20~50 mL,平均(28.33±11.25)mL;術後血hCG恢複正常時間為10~22 d,平均(16.83±4.21)d;住院時間為5~8 d,平均(6.50±1.05)d;月經恢複時間為26~58 d,平均(35.00±11.73)d。結論:經陰道CSP病竈切除術是一種安全經濟、快速有效的治療方法。
목적:탐토경음도부궁산술후자궁반흔임신(cesarean scar pregnancy,CSP)병조절제수술적림상실용개치。방법:수집아원2012년9월-2013년9월수치적CSP환자6례,채용경음도수술청제CSP병조,관찰술중출혈량、술후혈인융모막촉성선격소(hCG)하강정황、주원시간급월경복조정황。결과:6례수술균성공,무명현병발증,술후회복량호,술중출혈량20~50 mL,평균(28.33±11.25)mL;술후혈hCG회복정상시간위10~22 d,평균(16.83±4.21)d;주원시간위5~8 d,평균(6.50±1.05)d;월경회복시간위26~58 d,평균(35.00±11.73)d。결론:경음도CSP병조절제술시일충안전경제、쾌속유효적치료방법。
Objective:To evaluate the clinical value of transvaginal removal of caesarean scar pregnancy (CSP). Methods:This was a retrospective study on 6 patients with CSP enrolled from September 2012 to September 2013, 6 patients treated by transvaginal removal of caesarean scar pregnancy. Intra-operative blood loss, time required for blood hCG droping to normal, hospital stay and menstruation recovery were observed. Results:The procedure was completed in all the patients without causing complications. Intra-operative blood loss was 20-50 mL,(28.33±11.25)mL; time of blood hCG droping to normal was 10-22 d, (16.83±4.21)d;time of hospital stay was 5-8 d,(6.50±1.05 d);and time of menstruation recovery was 26-58 d,(35±11.73)d. Conclusions:Transvaginal removal of Caesarean scar pregnancy is a safe, economical, quickly and efficient procedure for patients with CSP.