河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
2期
262-265
,共4页
子宫瘢痕妊娠%腹腔镜手术%宫腔镜手术%血β-hCG
子宮瘢痕妊娠%腹腔鏡手術%宮腔鏡手術%血β-hCG
자궁반흔임신%복강경수술%궁강경수술%혈β-hCG
Uterine scar pregnancy%Laparoscopic operation%Hysteroscopic operation%Blood beta -hCG
目的：：探讨宫、腹腔镜手术治疗剖宫产术后子宫瘢痕妊娠( CSP )的临床疗效。方法：选择2010年1月至2013年12月就诊的63例CSP 患者，根据妊娠物生长方向分组：内生型(37例)行宫腔镜手术；外生型(26例)行腹腔镜手术，比较两组一般资料、临床疗效、观察及随访指标。结果：两组CSP患者的一般资料组间比较，差异无统计学意义(P>0.05)，具有可比性。腹腔镜组、宫腔镜组的手术成功率分别为100%(26/26)、91.9%(34/37)，组间比较差异无统计学意义(P>0.05)。较之宫腔镜组，腹腔镜组的术中出血量明显多，手术时间明显长，术后血β-hCG恢复至正常时间及月经恢复时间明显短，差异有统计学意义( P<0.05)，而住院时间、术后阴道流血时间比较差异无统计学意义( P>0.05)。结论：对于CSP ，宫、腹腔镜疗效均可，且各有优势，但均为保留子宫完整性的理想选择。
目的：：探討宮、腹腔鏡手術治療剖宮產術後子宮瘢痕妊娠( CSP )的臨床療效。方法：選擇2010年1月至2013年12月就診的63例CSP 患者，根據妊娠物生長方嚮分組：內生型(37例)行宮腔鏡手術；外生型(26例)行腹腔鏡手術，比較兩組一般資料、臨床療效、觀察及隨訪指標。結果：兩組CSP患者的一般資料組間比較，差異無統計學意義(P>0.05)，具有可比性。腹腔鏡組、宮腔鏡組的手術成功率分彆為100%(26/26)、91.9%(34/37)，組間比較差異無統計學意義(P>0.05)。較之宮腔鏡組，腹腔鏡組的術中齣血量明顯多，手術時間明顯長，術後血β-hCG恢複至正常時間及月經恢複時間明顯短，差異有統計學意義( P<0.05)，而住院時間、術後陰道流血時間比較差異無統計學意義( P>0.05)。結論：對于CSP ，宮、腹腔鏡療效均可，且各有優勢，但均為保留子宮完整性的理想選擇。
목적：：탐토궁、복강경수술치료부궁산술후자궁반흔임신( CSP )적림상료효。방법：선택2010년1월지2013년12월취진적63례CSP 환자，근거임신물생장방향분조：내생형(37례)행궁강경수술；외생형(26례)행복강경수술，비교량조일반자료、림상료효、관찰급수방지표。결과：량조CSP환자적일반자료조간비교，차이무통계학의의(P>0.05)，구유가비성。복강경조、궁강경조적수술성공솔분별위100%(26/26)、91.9%(34/37)，조간비교차이무통계학의의(P>0.05)。교지궁강경조，복강경조적술중출혈량명현다，수술시간명현장，술후혈β-hCG회복지정상시간급월경회복시간명현단，차이유통계학의의( P<0.05)，이주원시간、술후음도류혈시간비교차이무통계학의의( P>0.05)。결론：대우CSP ，궁、복강경료효균가，차각유우세，단균위보류자궁완정성적이상선택。
Objective: To discuss the clinical curative effect hysteroscopy, laparoscopic operation for the treatment of cesarean scar pregnancy ( CSP ) . Method:Selected 63 cases of CSP patients from Jan. 2010 to Dec. 2013 in our hospital,according to the growth direction of pregnancy group:endogenous type (37 ca-ses) underwent hysteroscopic operation; exogenous type ( 26 cases ) underwent laparoscopic operation, to compare two groups of general information, clinical efficacy, observation and follow-up indicators. Result:General data of two groups of patients with CSP had not significant difference ( P>0.05) , it had comparable. The success rate of hysteroscopy and laparoscopy group were 100% (26/26), 91.9% (34/37) respectively, There's no statistically significant difference between two groups (P>0.05).Hysteroscopy group was signifi-cantly more than the amount of bleeding, intraoperative laparoscopic group, the operation time was long, postoperative serum beta-hCG returned to normal time and menstrual recovery time was significantly shorter, the difference had statistically significant ( P<0. 05 ) , and the hospitalization time, postoperative vaginal bleeding time difference was not statistically significant (P>0.05). Conclusion:For CSP,it can be hysteros-copy, laparoscopic curative effect, and each has advantages, but they are reserved for the integrity of the i-deal choice of uterus.
