腹腔镜下直接吸宫术治疗剖宫产瘢痕妊娠的临床疗效研究.docxVIP

宫腔镜下直接吸宫术治疗剖宫产瘢痕妊娠的临床疗效研究【摘要】目的：研究观察应用宫腔镜下直接吸宫术治疗剖宫产瘢痕妊娠的临床应用效果。方法：以本院2012年6月~2015年12月期间收治的165例剖宫产瘢痕妊娠患者为研究对象，根据患者手术方式不同分为两组，观察组为98例宫腔镜下直接吸宫术患者，对照组为67例采取瘢痕妊娠开腹病灶切除术患者。比较两组患者的手术进行情况，包括术中出血量、手术进行时间、住院时间、血清HCG恢复正常时间、瘢痕包块消失时间，以及两组患者手术后的并发症发生率。结果：观察组和对照组患者手术均成功，在手术的各项指标比较方面：观察组患者的术中出血量、手术进行时间、住院时间、血清HCG恢复正常时间、瘢痕包块消失时间分别是(60.23±10.76)ml、(53.27±9.38)min、(2.31±0.67)d、(6.23±2.12)d、(7.27±1.87)d，对照组相应值为(121.35±18.46)ml、(90.32±10.16)min、(9.52±1.85)d、(4.37±1.52)d、(10.87±2.03)d，组间比较差异显著(P0.05)，提示观察组各项指标均优于对照组。观察组患者的并发症发生率为5.10%(5/98)，对照组并发症发生率高达16.42%(11/67)，组间比较差异具有统计学意义(P0.05)，提示观察组手术安全性更高。结论：宫腔镜下直接吸宫术用于剖宫产瘢痕妊娠的治疗，具有手术出血少、创伤小、术后恢复快、术后并发症少、安全性高等优点，可作为临床上剖宫产瘢痕妊娠的治疗的一种新的选择方案加以推广应用。【关键词】剖宫产瘢痕妊娠；直接吸宫术；治疗效果；安全性Clinical study on the treatment of cesarean scar pregnancy by laparoscopic direct aspiration[Abstract] Objective: To observe the clinical effect of laparoscopic direct aspiration of uterus in the treatment of cesarean scar pregnancy. Methods: 165 cases of cesarean scar pregnancy patients as the research object from our hospital during June 2012 ~2015 December, according to the operation were divided into two groups, the observation group for patients with uterus suction directly under laparoscope in 98 cases, control group 67 cases take scar pregnancy abdominal tumor resection patients. Comparing the two groups of patients with surgery, including bleeding volume, operation time, hospitalization time, serum HCG recovery time and scar mass disappearance time and the incidence of complications of two groups of patients after surgery. Results: the observation group and the control group of patients with operation were successful, compared the index of the operation: the observation group patients with intraoperative bleeding volume, operation time, hospitalization time, serum HCG recovery time and scar mass disappearance time were (60.23± 10.76)ml、(53.27±9.38) min、(2.31±0.67)d、(6.23±2.12)d、(7.27± 1.87) d, the corresponding values for the control group (121.35±18.46)ml、(90.32±10.16)