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目的探究瘢痕妊娠患者采用B超监测下宫腔镜电切治疗的效果及安全性。方法 65例瘢痕妊娠患者,随机分为观察组(35例)和对照组(30例)。观察组在B超监测下采用宫腔镜电切治疗,对照组患者采用经腹手术治疗。治疗5 d后,对两组患者的人绒毛膜促性腺激素β(β-HGG)下降恢复正常时间、月经恢复时间及患者住院时间等进行比较。结果观察组患者的β-HGG下降恢复正常时间、月经恢复时间及住院时间分别为(9.23±2.32)、(20.12±3.35)、(10.15±2.12)d,均明显短于对照组的(40.98±6.65)、(48.75±6.15)、(23.32±4.58)d,差异均具有统计学意义(P<0.05)。结论在B超监测下使用宫腔镜电切治疗瘢痕妊娠具有明显的效果,安全性能高,在临床上值得推广使用。
Objective To investigate the efficacy and safety of hysteroscopic electrosurgical treatment with B-ultrasound in patients with scar pregnancy. Methods 65 patients with scar pregnancy were randomly divided into observation group (35 cases) and control group (30 cases). The observation group under the B-monitoring using hysteroscopic electrotomy, the control group of patients with abdominal surgery. After 5 days of treatment, the recovery time of human chorionic gonadotropin β (β-HGG), the recovery time of menstruation and the length of stay of patients in both groups were compared. Results The decline of β-HGG in the observation group was (9.23 ± 2.32), (20.12 ± 3.35) and (10.15 ± 2.12) days, respectively, which were significantly shorter than that of the control group (40.98 ± 6.65), (48.75 ± 6.15) and (23.32 ± 4.58) d, respectively. All the differences were statistically significant (P <0.05). Conclusions The use of hysteroscopic electrosurgery in the treatment of scar pregnancy under B-ultrasound has obvious effect, high safety and is worth popularizing in clinic.