腹腔镜在剖宫产术后瘢痕妊娠(CSP) 治疗中的应用.docVIP

精品论文 参考文献 腹腔镜在剖宫产术后瘢痕妊娠(CSP) 治疗中的应用 何永娜 （河南省驻马店市中心医院 463000） 　　【摘要】目的：研究分析采用腹腔镜治疗剖宫产术后瘢痕妊娠的临床疗效。方法：选取驻马店市中心医院2012 年7 月-2013 年7 月收治的剖宫产瘢痕妊娠患者18 例为研究组，选取本院2011 年3 月-2012 年3 月收治C S P 患者18 例为对照组，对照组采用宫腔镜行清宫术，研究组采用腹腔镜进行病灶切除术，比较两组治愈率，手术时间、术中出血量，住院时间、月经恢复时间，血beta;-HCG 降为正常的时间。结果：研究组治愈率为100%，其差异明显具有统计学意义（Plt;0.05）; 研究组术中出血量高于对照组，但月经恢复时间和血beta;-H C G 降为正常的时间短于对照组，其差异明显具有统计学意义（Plt;0.05）。两组手术时间和住院时间差异不明显，不具有统计学意义（Pgt;0.05）。结论：采用腹腔镜治疗剖宫产术后瘢痕妊娠治疗效果好，对患者损伤少，恢复快，并且保留生育功能，具有重要意义，值得临床广泛推广应用。 　　【关键词】 腹腔镜 剖宫产 瘢痕妊娠 应用Application of laparoscope in Cesarean Scar Pregnancy (CSP) after Cesarean Section【Abstract】 Objective: To study and analyze the clinical effect of laparoscope in cesarean scar pregnancy (CSP) after cesarean section. Method: 18 patients with CSP aftercesarean section from July 2012 to July 2013 were chosen and marked as study group while 18 patients from March 2011 to March 2012 were marked as control group. Control groupadopted curettage under laparoscope while study group adopted excision under laparoscope. Curative rate, operation time, bleeding amount during operation, hospital stays, recovery time ofmenstruation and blood beta;-HCG decline to normal time of the 2 groups were compared. Result: Curative rate of study group was 100% obviously higher than control group (Plt;0.05).Bleeding amount during operation of study group was larger than control group but recovery time of menstruation and blood beta;-HCG decline to normal time were shorter than control group(Plt;0.05). There was no significant difference between operation time and hospital stays of the 2 groups (Pgt;0.05). Conclusion: Application of laparoscope in CSP after cesarean section hasa good effect and it has few injuries to patients and a soon recovery, it can keep fertility function and is worth of being popularized in clinical work.【Keywords】 Laparoscope Cesarean Section CSP Application【中图分类号】R714.22 【文献标识码】A 【文章编号】1672-5085（2013）36-0037-02剖宫产术后瘢痕妊娠是非常特殊的异位妊娠，指受精卵于剖宫产瘢痕处着床[1]。其危险性高，可以引起子宫破裂以及大量的出血，若处理不当则会