中国微创外科杂志
中國微創外科雜誌
중국미창외과잡지
Chinese Journal of Minimally Invasive Surgery
2015年
10期
894-896
,共3页
剖宫产瘢痕妊娠%内生型%宫腔镜%腹腔镜
剖宮產瘢痕妊娠%內生型%宮腔鏡%腹腔鏡
부궁산반흔임신%내생형%궁강경%복강경
Cesarean scar pregnancy%Endogenous type%Hysteroscopy%Laparoscopy
目的:探讨宫腔镜切除术治疗内生型剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)的安全性及可行性。方法2012年8月~2014年2月58例内生型 CSP 分别采用宫腔镜下切除(宫腔镜组,n =31)和腹腔镜手术(腹腔镜组,n =27),对2组术中出血量、手术时间、术后住院时间、术后宫腔引流量、术后血β-hCG 恢复正常时间及月经恢复正常时间进行比较。结果宫腔镜组术中出血量(109±59)ml,明显少于腹腔镜组(143±63)ml(t =-2.121,P =0.038);手术时间(43.7±17.5)min,明显短于腹腔镜组(100.8±18.8)min(t =-11.974,P =0.000);术后住院时间(3.8±0.7)d,明显短于腹腔镜组(4.5±0.6)d(t =-4.057,P =0.000);月经恢复正常时间(43.8±3.9)d,明显短于腹腔镜组(45.9±3.8)d(t =-2.070,P =0.043)。2组术后子宫腔引流量分别为(22.1±2.8)ml 和(23.6±3.2)ml,无统计学差异(t =-1.904,P =0.062)。2组血β-hCG降至正常时间分别为(20.5±7.7)d 和(22.9±9.3)d,无统计学差异(t =-1.075,P =0.287)。结论宫腔镜手术治疗内生型 CSP 出血少、住院时间短,恢复快。
目的:探討宮腔鏡切除術治療內生型剖宮產瘢痕妊娠(cesarean scar pregnancy,CSP)的安全性及可行性。方法2012年8月~2014年2月58例內生型 CSP 分彆採用宮腔鏡下切除(宮腔鏡組,n =31)和腹腔鏡手術(腹腔鏡組,n =27),對2組術中齣血量、手術時間、術後住院時間、術後宮腔引流量、術後血β-hCG 恢複正常時間及月經恢複正常時間進行比較。結果宮腔鏡組術中齣血量(109±59)ml,明顯少于腹腔鏡組(143±63)ml(t =-2.121,P =0.038);手術時間(43.7±17.5)min,明顯短于腹腔鏡組(100.8±18.8)min(t =-11.974,P =0.000);術後住院時間(3.8±0.7)d,明顯短于腹腔鏡組(4.5±0.6)d(t =-4.057,P =0.000);月經恢複正常時間(43.8±3.9)d,明顯短于腹腔鏡組(45.9±3.8)d(t =-2.070,P =0.043)。2組術後子宮腔引流量分彆為(22.1±2.8)ml 和(23.6±3.2)ml,無統計學差異(t =-1.904,P =0.062)。2組血β-hCG降至正常時間分彆為(20.5±7.7)d 和(22.9±9.3)d,無統計學差異(t =-1.075,P =0.287)。結論宮腔鏡手術治療內生型 CSP 齣血少、住院時間短,恢複快。
목적:탐토궁강경절제술치료내생형부궁산반흔임신(cesarean scar pregnancy,CSP)적안전성급가행성。방법2012년8월~2014년2월58례내생형 CSP 분별채용궁강경하절제(궁강경조,n =31)화복강경수술(복강경조,n =27),대2조술중출혈량、수술시간、술후주원시간、술후궁강인류량、술후혈β-hCG 회복정상시간급월경회복정상시간진행비교。결과궁강경조술중출혈량(109±59)ml,명현소우복강경조(143±63)ml(t =-2.121,P =0.038);수술시간(43.7±17.5)min,명현단우복강경조(100.8±18.8)min(t =-11.974,P =0.000);술후주원시간(3.8±0.7)d,명현단우복강경조(4.5±0.6)d(t =-4.057,P =0.000);월경회복정상시간(43.8±3.9)d,명현단우복강경조(45.9±3.8)d(t =-2.070,P =0.043)。2조술후자궁강인류량분별위(22.1±2.8)ml 화(23.6±3.2)ml,무통계학차이(t =-1.904,P =0.062)。2조혈β-hCG강지정상시간분별위(20.5±7.7)d 화(22.9±9.3)d,무통계학차이(t =-1.075,P =0.287)。결론궁강경수술치료내생형 CSP 출혈소、주원시간단,회복쾌。
Objective To evaluate the safety and feasibility of hysteroscopy in the treatment of endogenous type cesarean section scar pregnancy (CSP). Methods Clinical data of 58 cases of CSP from August 2012 to February 2014 in our hospital were analyzed retrospectively.Thirty-one cases were treated by hysteroscopy,while 27 cases were treated by laparoscopy.The intraoperative blood loss,operation time,postoperative hospital stay,postoperative drainage of uterine cavity,β-hCG level resolution time and time to menstruous restoration were compared between the two groups. Results The intraoperative blood loss,operation time,length of hospitalization after operation,and time to menstruous restoration were statistically lower in the hysteroscopy group than those in the laparoscopy group [(109 ±59)ml vs.(143 ±63)ml,t =-2.121 ,P =0.038;(43.7 ±17.5)min vs.(100.8 ±18.8)min,t =-1 1 .974,P =0.000;(3.8 ±0.7)d vs.(4.5 ±0.6)d,t =-4.057,P =0.000;(43.8 ±3.9)d vs.(45.9 ±3.8)d,t =-2.070,P =0.043].There were no significant differences in postoperative drainage of uterine cavity and β-hCG level resolution time between the two groups [(22.1 ±2.8)ml vs.(23.6 ±3.2)ml,t =-1 .904,P =0.062;(20.5 ±7.7)d vs.(22.9 ±9.3)d,t =-1 .075,P =0.287]. Conclusion Hysteroscopy has advantages of less intraoperative blood loss,shorter hospitalization time and quicker recovery in the treatment of endogenous type CSP.