摘要
目的探讨宫腔镜清宫联合Foley’s导尿管在内生型剖宫产瘢痕妊娠(Caesarean Scar Pregnancy,CSP)中的临床应用效果。方法纳入本次研究的对象为2017年3月—2019年3月收治的内生型CSP患者100例,以随机数字表法分为对照组与治疗组,各50例。治疗组予以宫腔镜清宫后加Foley’s导尿管压迫宫腔止血,对照组予以宫腔镜下直接清宫。评估两组患者术后血β-人绒毛膜促性腺激素(β-hCG)水平变化情况,比较两组阴道继发性大出血例数、术中出血量、阴道出血天数、住院时间、总住院费用情况,同时观察比较宫腔镜下二次清宫率、阴道大出血发生率、不良反应发生率情况。结果治疗组治疗后的β-hCG水平明显低于对照组,差异具有统计学差异(P<0.05);治疗组阴道继发性大出血病例数、术中出血量、阴道出血天数、住院时间及总住院费用等明显低于对照组,两组数据比较存在统计学差异(P<0.05);治疗组宫腔镜下二次清宫率、阴道大出血发生率、不良反应发生率明显低于对照组,差异具有统计学差异(P<0.05)。结论应用宫腔镜清宫联合Foley’s导尿管法治疗内生型CSP患者,具有术中出血量少、成功率高、并发症发生率低、住院时间短等优点,可有效提高患者的临床治疗效果,便于在基层医院推广使用。
Objective To investigate the clinical effect of hysteroscopic clearing combined with Foley's catheter on endogenous caesarean scar pregnancy(CSP).Methods One hundred patients admitted for endogenous CSP from March 2017 to March 2019 were randomly divided into a control group and a treatment group 50 casesin each.The treatment group was treated with Foley's catheter after hysteroscopic clearing to suppress uterine hemostasis,while the control group underwent hysteroscopic clearing directly.The changes of bloodβ-human chorionic gonadotropin(β-hCG)levels were evaluated between the two groups.The number of secondary vaginal hemorrhea,intraoperative blood loss,vaginal bleeding days,and the days and expenses of hospitalization were compared between the two groups.At the same time,the rate of secondary uterine clearing with hysteroscope,the incidence of vaginal hemorrhea and the incidence of adverse reactions were observed and compared.Results The level ofβ-hCG in the treatment group was significantly lower than that in the control group(P<0.05).The number of secondary major bleeding,intraoperative blood loss,vaginal bleeding days,hospitalization days and total hospitalization expenses in the treatment group were significantly lower than those in the control group(P<0.05).The rate of secondary uterine clearing with hysteroscope,the incidence of vaginal hemorrhea,and the incidence of adverse reactions in the treatment group were significantly lower than those in the control group(P<0.05).Conclusion The hysteroscopic uterus clearing combined with Foley's catheter in the treatment of patients with endogenous CSP has such advantages as less intraoperative blood loss,high success rate,low incidence of complication and shorter hospital stay.It can effectively improve the effect of clinical treatment so as to be promoted and used in primary hospitals easily.
作者
邱颖婷
漆艳萍
周婧君
QIU Yingting;QI Yanping;ZHOU Jingjun(Pingxiang Maternal and Children's Hospital,Pingxiang 337000,China)
出处
《现代医院》
2019年第11期1656-1658,共3页
Modern Hospitals
基金
萍乡市科技计划项目(2018PY076)
