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Ⅱ型剖宫产疤痕妊娠手术方式的临床探讨

Clinical exploration on surgical methods for typeⅡ cesarean scar pregnancy

    摘要
  • 摘要:
      目的  分析Ⅱ型剖宫产疤痕妊娠的最佳手术方式。
      方法  选取120例Ⅱ型剖宫产疤痕妊娠患者，按不同术式分为A组(n=60)与B组(n=60)。A组行宫-腹腔镜剖宫产疤痕妊娠病灶切除术联合子宫修补术, B组行宫腔镜剖宫产疤痕妊娠病灶切除术。比较2组患者手术效果。
      结果  A组手术时间、术中出血量、二次手术率低于B组，手术成功率高于B组，差异有统计学意义(P>0.05); 2组恢复时间及并发症发生率比较无显著差异(P>0.05)。
      结论  对Ⅱ型剖宫产疤痕妊娠患者采取宫-腹腔镜剖宫产疤痕妊娠病灶切除术联合子宫修补术的效果确切。

     

    Abstract:
      Objective  To analyze the best surgical Methodfor type Ⅱcesarean scar pregnancy.
      Methods  Totally 120 patients with type Ⅱcesarean scar pregnancy were selected and divided into group A (n=60) and group B (n=60) according to different surgical Methods. Patients in group A underwent hysteroscopy-laparoscopic lesionectomy for cesarean scar pregnancy plus repair of uterus, while patients in group B underwent hysteroscopic lesionectomy for cesarean scar pregnancy. The surgical effect of the two groups was compared.
      Results  The operation time, intra-operative bleeding volume and secondary operation rate of group A were significantly lower than those of group B, and the success rate of operation was significantly higher than that of group B (P < 0.05). There were no significant differences in recovery time and incidence rate of complications between the two groups (P>0.05).
      Conclusion  Hysteroscopy-laparoscopic lesionectomy for cesarean scar pregnancy plus repair of uterus is effective in treating patients with type Ⅱcesarean scar pregnancy.

     

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