摘要
目的:探讨经阴道子宫瘢痕部位妊娠病灶切除及子宫修补术治疗子宫瘢痕妊娠(CSP)的临床疗效。方法:回顾分析2012年1月至2014年1月我院收治的52例经阴道子宫瘢痕部位妊娠病灶切除及子宫修补术治疗CSP患者的临床资料。结果:除1例患者因子宫与前腹壁粘连紧密改开腹手术外,其余患者手术均顺利。平均手术时间39.8min,平均术中出血量85.2ml;术后血β-HCG水平下降率平均为86.8%;平均住院时间8.2天;平均住院费用9093.4元。结论:经阴道子宫瘢痕部位妊娠物清除及子宫修补术治疗CSP具有安全、有效、微创、经济的优点,值得临床推广。
Objective：To study the clinical effects of transvaginal debridement and re-pair of uterine defect for cesarean scar pregnancy（CSP）. Methods：A retrospective analysis of 52 patients who were treated by transvaginal debridement and repair of uterine defect from Jan. 2012 to Jan. 2014. Results：51 patients were operated successfully,and one patient converted into open surgery because the uterus adhered tightly to the anterior abdominal wall. Mean opera-tion time：39 . 8 min;Mean amount of operation bleeding：85 . 2 ml;Mean drop of blood β-HCG levels：86. 8%;Mean hospital stay：8. 2d;Mean hospital expense：9093. 4 Yuan. Conclusion：The transvaginal debridement and repair of uterine defect for Cesarean Scar Pregnancy is safe, effetive,minimally invasive and economical for patients with CSP. And it is worthy of clinical promotion.
出处
《现代妇产科进展》
CSCD
北大核心
2015年第4期273-275,共3页
Progress in Obstetrics and Gynecology
关键词
子宫瘢痕妊娠
经阴道手术
病灶切除
Cesarean scar pregnancy （CSP）
Transvaginal
Lesion exicision
作者简介
柳晓春（1958-），女，佛山市妇幼保健院主任医师。主要研究方向：经阴道子宫系列手术。
通讯作者Email：yakev19@163．com
