摘要
目的 探讨介入治疗联合宫腔镜手术治疗剖宫产后瘢痕妊娠的疗效及安全性.方法 选择2013年2月至2016年3月86例剖宫产后瘢痕妊娠患者为研究对象,以随机数字表法分为观察组和对照组,每组43例,对照组单用宫腔镜手术治疗,观察组采取介入治疗联合宫腔镜手术治疗,对两组患者治疗后效果及安全性进行观察.结果 观察组血清β-hCG降至正常时间、住院时间短于对照组,术中出血量低于对照组,差异有统计学意义（P〈0.05）;观察组术后阴道出血、体温升高、盗汗、子宫疼痛等并发症发生率显著低于对照组,差异有统计学意义（P〈0.05）.结论 介入治疗联合宫腔镜手术对剖宫产后瘢痕妊娠治疗效果满意,术中创伤小,术后并发症少,利于术后恢复,值得推广.
Objective To investigate the efficacy and safety of interventional therapy combined with hysteroscopy in the therapy for cesarean scar pregnancy.Methods Eighty-six cases of cesarean scar pregnancy were selected from February 2013 to March 2016 as the research objects,they were randomly divided into two groups,with 43 cases in each group.The control group used hysteroscopic surgery treatment,the observation group adopted intervention combined with hysteroscopy surgery treatment,the effect and safety of the two groups after treatment were observed.Results The serum levels of β-hCG decreased to normal time and hospitalization time in the observation group were shorter those in the control group,the amount of bleeding during operation was lower than that in the control group,there were significant differences between the two groups （P〈0.05）;Vaginal bleeding,fever,night sweats,uterine pain and other complications after operation in observation group were significantly lower than those in the control group,there were statistically significant differences （P〈0.05）.Conclusions Interventional therapy combined with hysteroscopy surgery in the therapy for cesarean scar pregnancy is satisfied with the treatment effect,less trauma,less postoperative complications,which is conducive to postoperative recovery,it is worth promoting.
出处
《中国实用医刊》
2017年第10期103-105,共3页
Chinese Journal of Practical Medicine
关键词
宫腔镜手术
介入治疗
剖宫产后瘢痕妊娠
Hysteroscopy surgery
Interventional therapy
Cesarean scar pregnancy
