剖宫产后子宫瘢痕处妊娠40例诊治和分析.docVIP

剖宫产后子宫瘢痕处妊娠40例诊治和分析 　　【摘要】 目的 探讨剖宫产后子宫瘢痕处妊娠的诊治情况。方法 40例剖宫产后子宫瘢痕处妊娠患者， 随机分为对照组和观察组， 各20例。对照组进行常规治疗， 观察组进行手术治疗， 对比分析两组患者人绒毛膜促性腺激素（HCG）恢复时间、包块吸收时间和治疗效果。结果 观察组HCG恢复时间20 d 18例， 包块吸收时间50 d 19例， 均优于对照组的1、1例， 差异具有统计学意义（P0.05）。观察组显效14例、有效5例、无效1例， 治疗总有效率为95.00%；对照组显效7例、有效7例、无效6例， 治疗总有效率为70.00%， 两组总有效率比较差异有统计学意义（P0.05）。结论 通过手术方式对剖宫产后子宫瘢痕处妊娠患者进行治疗， 有效提高患者治疗效果， 减少对患者宫腔的损害程度， 在临床中应予以推广使用。 　　【关键词】 剖宫产；子宫瘢痕；妊娠 　　DOI：10.14163/j.cnki.11-5547/r.2016.33.073 　　Diagnosis， treatment and analysis of 40 post-cesarean scar pregnancy cases TANG Zu-xian. Guangxi Laibin City Xingbin District People’s Hospital， Laibin 546100， China 　　【Abstract】 Objective To investigate diagnosis and treatment of post-cesarean scar pregnancy. Methods A total of 40 patients with post-cesarean scar pregnancy were randomly divided into control group and observation group， with 20 cases in each group. The control group received conventional therapy， and the observation group received surgical treatment. Comparative analysis was made on human chorionic gonadotropin （HCG） recovery time， enclosed mass absorption time and treatment effect on both groups. Results The observation group had 18 cases with HCG recovery time 20 d and 19 cases with enclosed mass absorption time 50 d， which were all better than 1 case and 1 case in the control group， and their difference had statistical significance （P0.05）. The observation group had 14 excellent cases， 5 effective cases and 1 ineffective case， with total effective rate as 95.00%. The control group had 7 excellent cases， 7 effective cases and 6 ineffective cases， with total effective rate as 70.00%. The difference of total effective rate had statistical significance between the two groups （P0.05）. Conclusion Implement of surgical treatment for post-cesarean scar pregnancy patients can effectively improve curative effect and reduce uterine cavity damage. It is worth clinical promotion and application. 　　【Key words】 Cesarean section； Cesarean scar； Pregnancy 　　?S着剖宫产率的逐年上升