经腹腔镜子宫动脉阻断后宫腔镜手术对子宫疤痕妊娠的治疗研究.docVIP

精品论文 参考文献 经腹腔镜子宫动脉阻断后宫腔镜手术对子宫疤痕妊娠的治疗研究 杨 英 四川省成都誉美医院 610000 　　【摘要】目的：分析经腹腔镜下子宫动脉阻断术联合宫腔镜监测下病灶清除术对子宫疤痕妊娠的治疗疗效。方法：选择2012年10月到2014年1月在本院进行治疗的60例剖宫产瘢痕妊娠患者，且所有患者根据治疗方案分为2组，其中30例患者行双侧子宫动脉栓塞术，并于术后24h行清宫术，作为对照组；30例患者行腹腔镜子宫动脉阻断术联合病灶清除术，作为观察组；观察比较2组的疗效。结果：观察组患者住院时间、月经复潮时间及术中出血量远优于对照组(P＜0.05)；且观察组患者术后并发症发生率2.7%显著低于对照组患者并发症发生率14.7%(P＜0.05)。结论：经腹腔镜子宫动脉阻断术联合宫腔镜病灶切除术具有创伤小、并发症少以及住院时间短等诸多优点，可保留患者生育功能。 　　【关键词】腹腔镜；子宫动脉阻断术；病灶清除术；子宫疤痕妊娠【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-7165(2015)12-0001-02[Abstract]:Objective: To anlysze the effect of after laparoscopic surgery with hysteroscopic uterine artery occlusion monitored debridement treatment ofuterine scar pregnancy. Methods：The 60 patients that had cesarean scar pregnancy and treated in our hospital during October 2014 to January 2015 hadbeen chosen. All patients were divided into two groups according to the treatment. Among them 30 patients oral uterine artery embolization ,at 24h aftercurettage at the same time, as the control group ;30 patients used laparoscopic uterine artery occlusion surgery with debridement surgery ,as the observergroup .Then the curative clinical effect of two groups were compared. Results: The observation group were hospitalized time, menstruation time andblood loss far better than the control group(P＜0.05),and observed in patients with postoperative complication rate of 2.7% was significantly lower than thecontrol group of patients with the complication rate of 14.7%.Conclusion:Laparoscopic uterine artery occlusion combined with hysteroscopy lumpectomysurgery with less trauma , fewer complications and a shorter hospital stay, and many other advantages, can retain reproductive function in patients.[Key words]Laparoscopic ;Uterine artery occlusion surgery ;Debridement surgery; Uterine scar pregnancy 　　剖宫产瘢痕妊娠属剖宫产远期并发症，指于以往剖宫产子宫切口瘢痕出有胚胎着床，可直接诱发子宫破裂、胎盘植入甚至威胁到孕产妇生命安全[1]。而由于瘢痕妊娠所在位置的特殊性，若发生误诊或者是漏诊的问题将会直接诱发大出血、子宫穿孔破裂，甚至会涉及到切除子宫，从根本上影响到女性身心健康[2]。本文旨在以60例患者作为研究对象，探讨经腹腔镜子宫动脉阻断后宫腔镜手术联合病灶清除术对子宫疤痕妊娠的治疗效果，报告如下1 资料与方法1.1 一般资料选择20