中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
5期
1000-1002
,共3页
子宫瘢痕妊娠%病灶切除术%临床应用%疗效
子宮瘢痕妊娠%病竈切除術%臨床應用%療效
자궁반흔임신%병조절제술%림상응용%료효
cesarean scar pregnancy ( CSP)%lesion resection%clinical application%curative effect
目的：探讨经阴道子宫瘢痕妊娠病灶切除术的临床应用。方法选择2012年6月至2015年8月在安康市人民医院接受手术治疗的剖宫产术后子宫瘢痕妊娠（ CSP）患者116例作为研究对象。依照数字随机表法将116例患者分为观察组及对照组，每组各58例，观察组给予经阴道CSP病灶切除术，对照组给予腹腔镜手术，比较两组的疗效。结果观察组的手术时间、住院费用均显著低于对照组（t值分别为19．906、4．028，均P＜0．05），两组术中出血量、住院时间比较均无显著性差异（t值分别为0．538、0．240，均P＞0．05）。两组患者治疗前血β-hCG水平无显著性差异（t＝0．203，P＞0．05），治疗后血β-hCG水平均显著下降（t值分别为239．599、131．166，均P＜0．05），但治疗后两组之间比较无显著性差异（t＝1．902，P＞0．05）。观察组有2例感染、1例淋漓阴道出血，对照组有3例感染、1例麻醉并发症，两组术后总并发症比较无显著性差异（χ2＝0．152，P＞0．05）。结论经阴道CSP病灶切除术治疗CSP患者可获得较好疗效，操作简便，安全性较高，值得在妇科临床上进行推广应用。
目的：探討經陰道子宮瘢痕妊娠病竈切除術的臨床應用。方法選擇2012年6月至2015年8月在安康市人民醫院接受手術治療的剖宮產術後子宮瘢痕妊娠（ CSP）患者116例作為研究對象。依照數字隨機錶法將116例患者分為觀察組及對照組，每組各58例，觀察組給予經陰道CSP病竈切除術，對照組給予腹腔鏡手術，比較兩組的療效。結果觀察組的手術時間、住院費用均顯著低于對照組（t值分彆為19．906、4．028，均P＜0．05），兩組術中齣血量、住院時間比較均無顯著性差異（t值分彆為0．538、0．240，均P＞0．05）。兩組患者治療前血β-hCG水平無顯著性差異（t＝0．203，P＞0．05），治療後血β-hCG水平均顯著下降（t值分彆為239．599、131．166，均P＜0．05），但治療後兩組之間比較無顯著性差異（t＝1．902，P＞0．05）。觀察組有2例感染、1例淋巑陰道齣血，對照組有3例感染、1例痳醉併髮癥，兩組術後總併髮癥比較無顯著性差異（χ2＝0．152，P＞0．05）。結論經陰道CSP病竈切除術治療CSP患者可穫得較好療效，操作簡便，安全性較高，值得在婦科臨床上進行推廣應用。
목적：탐토경음도자궁반흔임신병조절제술적림상응용。방법선택2012년6월지2015년8월재안강시인민의원접수수술치료적부궁산술후자궁반흔임신（ CSP）환자116례작위연구대상。의조수자수궤표법장116례환자분위관찰조급대조조，매조각58례，관찰조급여경음도CSP병조절제술，대조조급여복강경수술，비교량조적료효。결과관찰조적수술시간、주원비용균현저저우대조조（t치분별위19．906、4．028，균P＜0．05），량조술중출혈량、주원시간비교균무현저성차이（t치분별위0．538、0．240，균P＞0．05）。량조환자치료전혈β-hCG수평무현저성차이（t＝0．203，P＞0．05），치료후혈β-hCG수평균현저하강（t치분별위239．599、131．166，균P＜0．05），단치료후량조지간비교무현저성차이（t＝1．902，P＞0．05）。관찰조유2례감염、1례림리음도출혈，대조조유3례감염、1례마취병발증，량조술후총병발증비교무현저성차이（χ2＝0．152，P＞0．05）。결론경음도CSP병조절제술치료CSP환자가획득교호료효，조작간편，안전성교고，치득재부과림상상진행추엄응용。
Objective To explore the clinical application of transvaginal cesarean scar pregnancy ( CSP) lesion resection.Methods Totally 116 cases of CSP accepting operative treatment from June 2012 to August 2015 were selected and were divided into observation group and control group according to digital random table method ( with 58 cases in each group) .Observation group was treated by transvaginal CSP lesion resection, while control group was treated by laparoscopic surgery.Curative effects were compared between two groups.Results The operation duration and hospitalization expenses in the observation group were significantly lower than those in the control group ( t value was 19.906 and 4.028, respectively, both P<0.05), but there was no significant difference in intraoperative blood loss and length of hospital stay between two groups (t value was 0.538 and 0.240, respectively, both P>0.05).There was no significant difference in serumβ-hCG level before treatment between two groups (t=0.203,P>0.05), but it decreased significantly after treatment in two groups (t value was 239.599 and 131.166, respectively, both P <0.05).There was no significant difference in the serum β-hCG levels after treatment between two groups (t=1.902,P>0.05).There were 2 cases of infection and 1 case of dripping wet vaginal bleeding in the observation group, and there were 3 cases of infection and 1 case of anesthesia complications in the control group.However, there was no significant difference in total postoperative complications between two groups (χ2 =0.152,P>0.05).Conclusion The treatment of vaginal CSP lesion resection can obtain good curative effect, simple operation and high safety.It is worthy of popularization and application in gynecological clinics.
