腹腔镜下不同术式治疗剖宫产瘢痕妊娠的临床效果
郭凤1，黄伟2 ，赵莉1 ，王佩红1
（汉中市中心医院：1.妇科；2.神经外科，陕西 汉中，723000）
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摘要：
目的 探讨腹腔镜下不同术式治疗剖宫产瘢痕妊娠的临床效果。方法 对我院2014—2015 年收治的51 例剖宫产瘢痕妊娠 患者的临床资料进行回顾性分析，将所有患者按治疗方式分为介入组（n=21）和腹腔镜组（n=30）。介入组患者给予双侧子宫 动脉栓塞术治疗，腹腔镜组患者给予腹腔镜下不同术式治疗。比较两组患者的临床效果。结果 腹腔镜组患者住院总费用、住 院时间、术中出血量、血HCG 下降至正常时间和月经恢复时间均优于介入组（P<0.05）。结论 腹腔镜治疗剖宫产瘢痕妊娠具 有微创、疗效确切、经济等优点，是一种值得临床推广的治疗方法。
关键词：剖宫产瘢痕妊娠；腹腔镜；子宫动脉栓塞术
中图分类号：R713.8文献标志码：A文章编号：2096-1413(2018)02-0060-02
Clinical effects of different operative methods under laparoscope in the treatment of cesarean scar pregnancy
GUO Feng1, HUANG Wei 2, ZHAO Li 1, WANG Pei-hong1
(1. Gynecology Department; 2. Neurosurgery Department, Hanzhong Central Hospital, Hanzhong 723000, China)
ABSTRACT: Objective To investigate the therapeutic effect of different operative methods under laparoscope in the treatment of cesarean scar pregnancy. Methods The clinical data of 51 cesarean scar pregnancy patients admitted in our hospital from 2014 to 2015 were retrospectively analyzed, all the patients were divided into intervention group (n=21) and laparoscope group (n=30) with treatment methods. The intervention group was given bilateral uterine artery embolization, and the laparoscope group was treated with different operative methods under laparoscope. The clinical effects were compared between the two groups. Results The total cost of hospitalization, hospital stays, intraoperative blood loss, blood HCG decreased to normal time and menstrual recovery time in the laparoscope group were better than those in the intervention group (P<0.05). Conclusion Laparoscopic in the treatment of cesarean scar pregnancy has the advantages of minimally invasive, effective and economic, which is a treatment method worthy of popularizing in clinic.
KEYWORDS: cesarean scar pregnancy; laparoscopic; bilateral uterine artery embolization
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