论文部分内容阅读
目的:观察并分析阴式剖宫产术后疤痕妊娠切除修补术治疗剖宫产术后瘢痕处妊娠(CSP)的疗效。方法:回顾性分析2012年8月~2013年10月剖宫产术后疤痕妊娠患者22例,其中11例采用阴式疤痕妊娠病灶切除加修补术进行治疗的患者为A组,另外11例为同期进行腹腔镜手术的11例患者为B组。对比2组患者各项手术指标。结果:相对于B组患者,A组在手术时间、出血量、平均住院时间、血清β-HCG降至正常时间、平均住院费用、并发症发生率及术前、术后3天的WHOQOL-100评分有显著优异性,差异均有统计学意义(P<0.05)。结论:阴式剖宫产术后疤痕妊娠切除修补术治疗剖宫产后疤痕妊娠的疗效优于腹腔镜手术,且更适合基层医院开展此种术式。
Objective: To observe and analyze the effect of excision and repair of scar pregnancy after cesarean section on cesarean section pregnancy (CSP). Methods: Twenty-two patients with scar pregnancy after cesarean section were retrospectively analyzed from August 2012 to October 2013. Among them, 11 patients underwent excision and repair of vaginal scar pregnancy were treated as group A, and the other 11 patients were Eleven patients undergoing laparoscopic surgery during the same period were Group B. Comparing the two groups of patients with various surgical indicators. Results: Compared with group B, the average time of hospitalization, the amount of bleeding, the average length of hospital stay, the mean time to hospitalization of serum β-HCG, the average cost of hospitalization, the complication rate and the WHOQOL-100 The score was significantly superiority, the difference was statistically significant (P <0.05). CONCLUSION: The curative effect of vaginal cesarean section excision and repair of scar pregnancy after cesarean section scar pregnancy is better than that of laparoscopic operation, and it is more suitable for primary surgery.