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经阴道瘢痕切除与介入联合清宫术在瘢痕妊娠治疗中的比较
精品论文 参考文献
经阴道瘢痕切除与介入联合清宫术在瘢痕妊娠治疗中的比较
江苏省盐城市第三人民医院妇产科 江苏盐城 224000
【摘 要】目的 对比经阴道瘢痕切除与介入联合清宫术在治疗瘢痕妊娠的临床疗效 方法 将40例瘢痕妊娠患者随机分为试验组和对照组各20例,试验组于硬膜外麻醉下行经阴道瘢痕切除,对照组局麻下给予子宫动脉栓塞联合清宫术治疗。对比2组手术时间、术中出血量、住院时间、医疗费用、血beta;-hCG转阴时间和临床治愈率等。结果 试验组手术时间少于对照组,住院时间少于对照组,医疗费用明显低于对照组,血beta;-hCG转阴时间小于对照组,患者治愈率高于对照组,差异均有统计学意义(P <0.05),试验组术中出血量与对照组差异无统计学意义(P >0.05)。结论 经阴道瘢痕切除与介入联合清宫术相比在治疗瘢痕妊娠上具有疗效显著,经济安全等优点,是一种安全有效的微创手术,值得临床推广使用。
【关键词】瘢痕妊娠;经阴道瘢痕切除;子宫动脉栓塞;清宫
Analysis of curative effect by two surgical methods of transvaginal scar resection and uterine artery embolization combined
with ultrasound-guided curettage in the treatment of cesarean scar pregnancy
Wang hongmei.the Third Peoplersquo;s Hospital of Yancheng,224000,China
【Abstract】 Objective To analyze and compare clinical effects by two surgical methods of transvaginal scar resection and uterine artery embolization combined with ultrasound-guided curettage in the treatment of cesarean scar pregnancy.Methods A total of 40 CSP patients were randomly divided into the experimental group and control group,20 cases in each group.The experimental group adopted transvaginal scar resection under epidural anesthesia,while the control group adopted uterine artery embolization under local anesthesia combined with ultrasound-guided curettage.Comparisons were made on operation time,intraoperative bleeding volume,hospitalization days and cost,human chorionic gonadotropin(HCG)clearance time,the cure rate between the two groups.Results The transvaginal scar resection group had all better average operation time,average hospitalization days and cost,average HCG clearance time,had a higher cure rate than the control group,and the difference had statistical significance(Plt;0.05).There was no statistically significant difference of the intraoperative bleeding volume between the two groups(Pgt;0.05).Conclusion Comparing with uterine artery embolization combined with ultrasound-guided curettage,transvaginal scar resection contains advantages in treating ce
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