摘要
目的探讨腹腔镜下子宫动脉结扎术治疗剖宫产瘢痕妊娠的临床效果。方法选取2017年12月~2018年12月我院收治的80例剖宫产术后子宫瘢痕妊娠的患者为研究对象,将患者按照奇偶数法随机分成对照组和观察组,每组40例。对照组患者采用甲氨蝶呤和清宫术进行治疗,观察组患者采用甲氨蝶呤和腹腔镜下子宫动脉结扎术进行治疗。比较两组患者的治疗效果及相关手术指标的情况。结果观察组患者的治疗总有效率为97.5%,与对照组的87.5%比较,差异无统计学意义(P>0.05)。观察组患者的术中出血量少于对照组,住院和月经复潮时间短于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下通过子宫动脉结扎术治疗瘢痕妊娠,能够有效减少患者术中出血量,提高治疗效果,缩短住院时间和月经复潮时间,值得临床应用推广。
Objective To investigate the clinical effect of laparoscopic uterine artery ligation in the treatment of cesarean scar pregnancy.Methods From December 2017 to December 2018,80 patients with uterine scar pregnancy after cesarean section admitted to our hospital were selected as the research objects,and the patients were randomly divided into control group and observation group according to odd even method,with 40 cases in each group.Patients in the control group were treated with Methotrexate and curettage,patients in the observation group were treated with Methotrexate and laparoscopic uterine artery ligation.The therapeutic effects and related surgical indexes of the patients between the two groups were compared.Results The total effective rate of patients in the observation group was 97.5%,compared with 87.5%in the control group,the difference was not statistically significant(P>0.05).The intraoperative blood loss of the patients in the observation group was less than that of the control group,and the hospitalization and menstruation recovery time were shorter than those of the control group,the differences were statistically significant(P<0.05).Conclusion Laparoscopic ligation of uterine artery for scar pregnancy can effectively reduce the amount of bleeding during operation,improve the treatment effect,shorten the hospitalization time and menstrual cycle time,and is worthy of clinical application and promotion.
作者
陈美容
CHEN Mei-rong(Department of Obstetrics and Gynecology,People′s Hospital of Yangdong District Yangjiang City,Guangdong Province,Yangjiang 529500,China)
出处
《中国当代医药》
2020年第2期127-129,共3页
China Modern Medicine
关键词
腹腔镜
子宫动脉结扎术
瘢痕妊娠
术中出血量
子宫保护机制
Laparoscopy
Uterine artery ligation
Scar pregnancy
Intraoperative blood loss
Uterine protection mechanism
