腹腔镜治疗外生型剖宫产瘢痕妊娠疗效分析.docVIP

腹腔镜治疗外生型剖宫产瘢痕妊娠疗效分析 　　[摘要] 目的 探讨腹腔镜治疗外生型剖宫产瘢痕妊娠的疗效。方法 方便选择2013年1月―2017年7月该院外生型剖宫产瘢痕妊娠患者50例临床资料，采用腹腔镜瘢痕妊娠病灶切除术者25例为观察组，经腹瘢痕妊娠病灶切除术者25例为对照组，观察两组患者的疗效。结果 观察组术中出血量、手术时间、住院时间、术后病灶消失时间、术后VAS评分分别为（118.2±19.6）mL、（62.6±13.6）min、（5.5±1.3）d、（16.9±3.1）d、（2.2±1.7）分，对照组分别为（176.6±17.1）mL、（91.4±21.3）min、（7.6±1.5）d、（20.9±3.6）d、（4.3±1.5）分，组间比较差异有统计学意义（P0.05）。结论 腹腔镜瘢痕妊娠病灶切除术治疗外生型剖宫产瘢痕妊娠的疗效显著，患者术中出血量少，恢复快，值得临床推广。 　　[关键词] 剖宫产瘢痕妊娠；腹腔镜手术；疗效 　　[中图分类号] R714 [文献标识码] A [文章编号] 1674-0742（2017）12（a）-0068-03 　　[Abstract] Objective To study the curative effect of laparoscope in treatment of exogenous cesarean scar pregnancy. Methods 50 cases of patients with exogenous cesarean scar pregnancy admitted and treated in our hospital from January 2013 to July 2017 were conveniently selected and divided into two groups with 25 cases in each， the observation group and the control group were respectively treated with laparoscopic resection of scar pregnancy and excision of abdominal scar pregnancy， and the curative effect of the two groups was observed. Results The intraoperative bleeding amount， operation time， length of stay， postoperative lesion disappearance time， postoperative VAS score in the observation group and in the control group were respectively （118.2±19.6）mL， （62.6±13.6）min， （5.5±1.3）d， （16.9±3.1）d， （2.2±1.7）points and （176.6±17.1）mL， （91.4±21.3）min，（7.6±1.5）d，（20.9±3.6）d，（4.3±1.5）points， and the differences were statistically significant（P0.05）. Conclusion The curative effect of laparoscopic resection of scar pregnancy in treatment of exogenous cesarean scar pregnancy is obvious， with less intraoperative bleeding amount and rapid recovery， and it is worth clinical promotion. 　　[Key words] Cesarean scar pregnancy； Laparoscopic surgery； Curative effect 　　剖宫产瘢痕妊娠（cesarean scar pregnancy，CSP???指患者有剖宫产术史，该次妊娠胚胎着床于子宫切口瘢痕处，是异位妊娠的一种特殊类型[1]。近年来，随着剖宫产率及宫腔手术操作增加，剖宫产瘢痕妊娠发生比例增高，尤其对于外生型瘢痕妊娠，绒毛组织侵入瘢痕缺损处并继续向子宫浆膜面及膀胱生长，诊治不及时可能导致难以控制的大出血，甚至子宫切除[2]。对此，该研究方便选择2013年1月―2017年7月于该院手术治疗的外生型剖宫产瘢痕妊娠患者50例作?檠芯慷韵