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目的分析腹腔镜手术治疗剖宫产术后子宫瘢痕部位妊娠的效果。方法 31例腹腔镜手术治疗的剖宫产术后子宫瘢痕部位妊娠患者作为研究组。选取同期33例接受开腹手术治疗的剖宫产术后子宫瘢痕部位妊娠患者作为对照组,对比两组治疗效果及临床指标。结果研究组患者手术所用时间、术中出血量、住院时间、血β-人绒毛膜促性腺激素(HCG)水平恢复至正常时间及术后首次月经时间分别是(26.5±3.3)min、(63.2±7.6)ml、(5.4±1.7)d、(16.2±1.6)d及(41.1±4.6)d;对照组患者分别为(43.3±5.7)min、(106.4±16.5)ml、(8.5±2.1)d、(31.2±6.6)d及(62.8±9.2)d;研究组患者术中出血量少于对照组,手术所用时间、住院时间、血β-HCG水平恢复至正常时间及术后首次月经时间均短于对照组,差异有统计学意义(P<0.05)。结论腹腔镜手术治疗剖宫产术后子宫瘢痕部位妊娠更为安全、有效,能够缩短手术时间,减轻患者痛苦,保障母婴平安。
Objective To analyze the effect of laparoscopic surgery on cesarean scar pregnancy after cesarean section. Methods 31 patients undergoing laparoscopic surgery for cesarean section after uterine scar pregnancy were selected as the study group. Thirty-three patients undergoing cesarean section with uterine scar pregnancy undergoing laparotomy were selected as the control group, and the therapeutic effect and clinical indexes were compared between the two groups. Results The duration of operation, blood loss, length of hospital stay, blood HCG level returned to normal in the study group and time to first menstruation were (26.5 ± 3.3) min and (63.2 (43 ± 5.7) min, (106.4 ± 16.5) ml and (8.5 ± 2.1) ± (7.6 ± 1.6) d and d, (31.2 ± 6.6) d and (62.8 ± 9.2) d respectively. The bleeding volume of the study group was less than that of the control group. The operation time, hospital stay, blood β-HCG level returned to normal time and the first postoperative menstrual time Both shorter than the control group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic surgery for cesarean section after uterine scar pregnancy is more safe and effective, can shorten the operation time, reduce patient suffering and protect the safety of mother and child.