摘要
目的:研究剖宫产瘢痕妊娠(CSP)应用宫腹腔镜联合子宫动脉栓塞术(UAE)治疗的临床效果。方法:回顾分析我院2019年1月—2021年10月收治的60例CSP患者临床资料,按入院顺序将其分组,观察组(n=30例)采用宫腹腔镜治疗,在此基础上,试验组(n=30例)联合子宫动脉栓塞术治疗,对比两种治疗方式的差异性。结果:术前,两组血β-hCG水平对比差异无统计学意义,P>0.05;术后,两组血β-hCG水平均有所降低,且试验组下降幅度大于观察组,P<0.05;试验组术中出血量、手术时间、阴道出血量、阴道持续出血时间、住院时间、月经恢复时间和血β-hCG降至正常的时间均低于观察组(P<0.05);试验组并发症发生率(6.67%)明显低于观察组(30.00%),P<0.05;试验组月经淋漓不尽发生率(6.67%)与观察组(20.00%)对比无统计学意义,P>0.05。结论:CSP应用宫腹腔镜联合UAE治疗可有效提高手术效率,降低术后并发症风险,改善预后。
Objective:To study the clinical effect of laparoscopy combined with uterine artery embolization(UAE)in the treatment of cesarean section scar pregnancy(CSP).Methods:The clinical data of 60 CSP patients admitted to our hospital from January 2019 to October 2021 were retrospectively analyzed,and they were divided into two groups according to the order of admission.The observation group(n=30 cases)was treated with laparoscopy,and the experimental group(n=30 cases)was treated with uterine artery embolization,and the differences between the two treatment methods were compared.Results:Before surgery,there was no significant difference in the level of blood β-HCG between the two groups,P>0.05.After surgery,the level of blood β-HCG in both groups was decreased,and the decrease in experimental group was greater than that in observation group,P<0.05.The amount of intraoperative blood loss,operation time,vaginal blood loss,duration of vaginal bleeding,length of hospital stay,menstrual recovery time and the time of blood β-HCG descending to normal in experimental group were all lower than that in observation group,P<0.05.The complication rate of experimental group(6.67%)was significantly lower than that of observation group(30.00%),P<0.05.There was no significant difference in the incidence of menstrual menstrual insufficiency between the experimental group(6.67%)and the observation group(20.00%),P>0.05.Conclusion:Laparoscopy combined with UAE for CSP can effectively improve the surgical efficiency,reduce the risk of postoperative complications and improve the prognosis.
作者
林若云
杨燕珠
许艳群
景艳
Lin Ruoyun(Department of Obstetrics and Gynecology,Shanwei Second People's Hospital(Shanwei Yihui Foundation Hospital),Shanwei 516600)
出处
《黑龙江医药》
CAS
2022年第2期275-278,共4页
Heilongjiang Medicine journal
基金
汕尾市科技计划项目(项目编号:210531106342064)。
关键词
剖宫产瘢痕妊娠
宫腹腔镜
子宫动脉栓塞术
临床效果
Cesarean Section Scar Pregnancy
Laparoscopy
Uterine Artery Embolization
Clinical Effect
