摘要
目的探索一种更安全、可行、有效的治疗剖宫产子宫疤痕妊娠的方法。方法回顾性分析2012年5月～2013年7月,我院共收治剖宫产疤痕妊娠患者22例,分为两组,研究组行阴式子宫疤痕妊娠病灶清除术,对照组行单纯MTX药物保守治疗。观察两组治疗前后血β-HCG下降比、血β-HCG下降至正常所需时间、治愈率、有无手术并发症或者药物副反应及治疗费用等。结果研究组12例患者均手术成功,无明显并发症。术后血β-HCG下降比、治愈率（89.1%、91.6%）均明显高于对照组（26.3%、60%）,血β-HCG下降至正常时间、阴道流血时间、包块消失时间及副反应均低于对照组,两组比较差异有显著性;而两组治疗费用无明显差异。结论阴式子宫切口疤痕妊娠病灶清除术作为一种新的CSP手术治疗方案,具有手术简单、疗效确切、损伤小、术后恢复快及并发症少等优点,是目前治疗CSP的一种可行、有效的治疗方法,值得临床推广。
[ Objective ] To introduce a more secure, pragmatic and high-efficient treatment to cure cesarean scar pregnancy. [ Methods ] A retrospective analysis of 22 patients with CPS using different treatments from May 2012 to July 2013. The patients were divided into two groups. The experimental group was treated by trans-vaginal cesarean scar pregnancy debridement surgery, while the control group was by MTX medicine treatment. Two groups were compared in preoperative blood 13-HCG levels, recovery time of blood 13-HCG levels, cure rates, postoperative complications, medical allergy and expense. [ Results ] The experimental group wassuccessfully treated with shorter operative time, less damage, less bleeding, decreased postoperative blood HCG, and faster postoperative recovery pe- riod, compared with control group. The Preoperative blood 13-HCG level and the cure rate were respectively 89.1% and 91.6%, overwhelmingly higher than the regular one with 26.3% and 60%. The medical expenses of two groups were very closed. [ Conclusions ] Trans-vaginal cesarean scar pregnancy debridement surgery is a new surgical treat- ment for CSP which showed less damage, rapid postoperative recovery, fewer complications, and feasible and effec- tive.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2014年第9期72-74,共3页
China Journal of Modern Medicine
关键词
剖宫产疤痕妊娠
阴式手术
病灶清除
cesarean scar pregnancy （CSP）
trans-vaginal operations
debridement
