中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
11期
143-145
,共3页
阴道手术%剖宫产后子宫瘢痕妊娠%疗效%安全性
陰道手術%剖宮產後子宮瘢痕妊娠%療效%安全性
음도수술%부궁산후자궁반흔임신%료효%안전성
Vaginal surgery%After caesarean section scar pregnancy%Efficacy%Safety
目的：探讨经阴道手术对产妇剖宫产后子宫瘢痕妊娠（CSP）的应用实效性及安全性。方法：选取本院2011年1月-2013年8月确诊的30例剖宫产后子宫瘢痕妊娠孕妇，分成观察组及对照组，每组各15例，观察组患者进行阴道手术治疗，对照组患者进行药物治疗，对两组患者的疗效进行分析。结果：治疗后，观察组及对照组患者成功率分别为93.3%、66.7%，两组比较差异有统计学意义（χ2=6.282，P<0.05）。治疗后，观察组及对照组患者的出血量、住院时间及β-hCG比较差异有统计学意义（P<0.05）。30例CSP患者经过治疗后，24例患者能够完善的保留生育功能。在随访的过程中，观察组患者的血β-hCG值能够很快恢复到正常，对照组患者经过每周复查后，12例患者的血β-hCG值在出院后1~5周内能够恢复正常。25例患者在30~40 d内月经来潮，5例患者在40~60 d内月经来潮。结论：经阴道手术对子宫瘢痕妊娠患者进行治疗是一种较为适合的治疗方式，但是对于阴道狭窄、宫颈难以暴露的患者，应该根据实际情况，同时通过阴道超声检测及医师的手术经验，采取合理的治疗方案，为患者的康复提供保障。
目的：探討經陰道手術對產婦剖宮產後子宮瘢痕妊娠（CSP）的應用實效性及安全性。方法：選取本院2011年1月-2013年8月確診的30例剖宮產後子宮瘢痕妊娠孕婦，分成觀察組及對照組，每組各15例，觀察組患者進行陰道手術治療，對照組患者進行藥物治療，對兩組患者的療效進行分析。結果：治療後，觀察組及對照組患者成功率分彆為93.3%、66.7%，兩組比較差異有統計學意義（χ2=6.282，P<0.05）。治療後，觀察組及對照組患者的齣血量、住院時間及β-hCG比較差異有統計學意義（P<0.05）。30例CSP患者經過治療後，24例患者能夠完善的保留生育功能。在隨訪的過程中，觀察組患者的血β-hCG值能夠很快恢複到正常，對照組患者經過每週複查後，12例患者的血β-hCG值在齣院後1~5週內能夠恢複正常。25例患者在30~40 d內月經來潮，5例患者在40~60 d內月經來潮。結論：經陰道手術對子宮瘢痕妊娠患者進行治療是一種較為適閤的治療方式，但是對于陰道狹窄、宮頸難以暴露的患者，應該根據實際情況，同時通過陰道超聲檢測及醫師的手術經驗，採取閤理的治療方案，為患者的康複提供保障。
목적：탐토경음도수술대산부부궁산후자궁반흔임신（CSP）적응용실효성급안전성。방법：선취본원2011년1월-2013년8월학진적30례부궁산후자궁반흔임신잉부，분성관찰조급대조조，매조각15례，관찰조환자진행음도수술치료，대조조환자진행약물치료，대량조환자적료효진행분석。결과：치료후，관찰조급대조조환자성공솔분별위93.3%、66.7%，량조비교차이유통계학의의（χ2=6.282，P<0.05）。치료후，관찰조급대조조환자적출혈량、주원시간급β-hCG비교차이유통계학의의（P<0.05）。30례CSP환자경과치료후，24례환자능구완선적보류생육공능。재수방적과정중，관찰조환자적혈β-hCG치능구흔쾌회복도정상，대조조환자경과매주복사후，12례환자적혈β-hCG치재출원후1~5주내능구회복정상。25례환자재30~40 d내월경래조，5례환자재40~60 d내월경래조。결론：경음도수술대자궁반흔임신환자진행치료시일충교위괄합적치료방식，단시대우음도협착、궁경난이폭로적환자，응해근거실제정황，동시통과음도초성검측급의사적수술경험，채취합리적치료방안，위환자적강복제공보장。
Objective:To investigate the application effectiveness and safety inquiry of patients with cesarean section scar pregnancy treated with vaginal surgery. Method:30 cases of patients with cesarean section scar pregnancy were chosen from January 2011 to August 2013 in our hospital to received treatment,and divided into observation group and control group,15 patients in each group. The effects and complications were analyzed.Result:After treatment, analyzed the efficacy of observation group and the control group,the success rate was respectively 93.3%and 66.7%, after a comparative analysis,the difference was statistically significant(χ2=6.282,P<0.05).After treatment,analyzed after comparative analysis the amount of bleeding,length of stay andβ-hCG in the observation group and the control group of patients,the differences were statistically significant(P<0.05).30 cases of CSP patients after treatment,28 cases of patients were able to complete the preserve fertility. In the followed-up process,the bloodβ-hCG value of the observation group was able to quickly return to normal;the control group patients after the weekly review,bloodβ-hCG values in 12 patients 1-5 weeks after discharge can be restored normal. 25 patients were in the 30-40 d menstrual cramps, 5 patients were in the 40-60 d menstrual cramps.Conclusion:After vaginal surgery for the treatment of patients with caesarean section scar pregnancy is a more appropriate treatment,but for the patients of vaginal stenosis,cervical difficult to expose,should be based on the actual situation,through the vaginal ultrasound and surgical experience of physicians, to take reasonable treatment programs and provide protection for the rehabilitation of patients.
