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目的分析比较宫腔镜电切术及经阴道手术治疗剖宫产切口瘢痕妊娠的临床疗效。方法 31例内生型剖宫产切口瘢痕妊娠患者,根据手术方式分为阴式手术组14例及宫腔镜组17例,两组术前均给予氨甲喋呤。比较两组手术时间、术中出血量、血人绒毛膜促性腺激素(HCG)转阴时间、术后住院时间、住院费用情况。结果两组平均手术时间、平均术中出血量、平均术后住院时间比较,宫腔镜组优于阴式手术组,差异有统计学意义(P<0.05),而血HCG转阴时间及平均住院费用两组比较,差异无统计学意义(P>0.05)。结论宫腔镜手术联合氨甲喋呤治疗内生型剖宫产切口瘢痕妊娠有一定优势,值得推广应用。
Objective To analyze the clinical effects of hysteroscopic resection and transvaginal surgery for cesarean scar pregnancy. Methods 31 cases of endocervical cesarean section scar pregnancy were divided into 14 cases of vaginal surgery group and 17 cases of hysteroscopy group. Methotrexate was given to both groups before operation. The operation time, intraoperative blood loss, blood gonadotropin (HCG) negative conversion time, postoperative hospital stay and hospitalization costs were compared between the two groups. Results The mean operation time, average blood loss during operation and average postoperative hospital stay were significantly higher in hysteroscopy group than in vaginal surgery group (P <0.05) Hospitalization costs between the two groups, the difference was not statistically significant (P> 0.05). Conclusion Hysteroscopic surgery combined with methotrexate treatment of endometrial scar pregnancy cesarean section have some advantages, it is worth promoting the application.