摘要
目的观察并分析腹腔镜手术治疗剖宫产术后瘢痕处妊娠(CSP)的疗效。方法回顾性分析2000年1月—2011年7月我院收治的68例CSP患者的临床资料及治疗情况,其中37例采用腹腔镜下切除子宫CSP(腹腔镜手术治疗组),31例采用药物化疗(保守治疗,肌肉注射甲氨蝶呤+口服米非司酮片),并对两组疗效进行比较。结果腹腔镜手术治疗组治愈率100%(37/37)较保守治疗组治愈率90%(28/31)高,差异有统计学意义(χ2=15.063,P<0.05)。腹腔镜手术治疗组的血β-绒毛膜促性腺激素降至正常时间、月经恢复正常时间及平均住院天数均低于保守治疗组,差异有统计学意义(P<0.05)。结论腹腔镜手术治疗CSP,安全且疗效确切,可有效恢复子宫的形态和功能。
Objectives To analyze the curative effects of laparoscopy on cesarean scar pregnancy（CSP）.Methods Data and treatments of 68 CSP patients admitted from January 2000 to July 2011 were analyzed retrospectively.Thirty-seven patients had CSP（CSP group）,31 had conservative treatment（CT group,given intermuscular methotrexate and oral mifepristone tablets）.The curative effects were compared between 2 groups.Results The cure rate was higher in CSP group（100%） than in CT group（90%）,the difference was significant（P0.05）,and the time of serum β-HCG dropping to normal,of menstruation recovering to normal and average hospital stay were lower（P0.05）.Conclusion Laparoscopic surgery,safe and effective,recovering better the morphous and function of uterus,is an effective treatment for CSP.
出处
《中国全科医学》
CAS
CSCD
北大核心
2012年第33期3880-3881,共2页
Chinese General Practice
