产后胎盘植入宫腔镜治疗的临床分析.docVIP

产后胎盘植入宫腔镜治疗的临床分析 湖南省委底市委星区人民医院产科417000 【摘要】目的分析探讨产后胎盘植入宫腔镜治疗的临床效果。方法选择我院 收治的胎盘植入患者80例作为研究对象，收治时间在2013年2月至2014年2 月期间，使用数字抽签法将其分成实验组和对照组，每组各有患者40例，对照 组给予米非司酮结合刮宫术治疗，实验组给予米非司酮结合宫腔镜电切术治疗, 并在两组患者结朿治疗后，对比其并发症发生率、治愈率、术中出血量及手术时 间。结果实验组的治愈例数高于对照组(P0.05);实验组的并发症发生率、 术中出血量及手术时间均低于对照组(P0.05),差异具有统计学意义。结论宫 腔镜治疗产后胎盘楨入具有显著的疗效，能有效提高患者的治愈率，减少患者的 术中出血量及手术时间，值得在临床实践中应用和推广。 【关键词】产后：胎盘植入；宫腔镜：疗效 【abstract 】objective analysis to explore the clinical effect of postpartum hysteroscopic treatment of the placenta increta. Methods select our hospital 80 cases of patients with placenta increta as the research object, treated time in February 2013 to February 2014, using a digital lottery method will be divided into the experimental group and the control group, each group with 40 cases patients, the treatment of the control group given mifepristone combined with curettage, the experimental group given mifepristone combined hysteroscopic surgery, and at the end of the two groups of patients after treatment, compared the incidence of complications, the cure rate, intraoperative blood loss and operation time. The results of the experimental group cure were higher than the control group (P lt; 0.05); The experimental group the incidence of complications, intraoperative blood loss and operation time are lower than the control group (P lt; 0.05), the difference is statistically significant. Conclusion hysteroscopic treatment of the postpartum placenta implantation has significant curative effect, can effectively improve the cure rate of patients, reduce the number of patients with intraoperative blood loss and operation time, is worthy of application and popularization in clinical practice. Key words: postpartum; The placenta implantation; Hysteroscopy. The curative effect 胎盘植入是临床危害性较大的妇科疾病，该疾病主要是指子宫内的蜕膜 海绵层缺失导致胎盘和子宫异常附着，是由于原发性蜕膜发育不全或者创伤性内 膜缺陷，导致蜕膜缺乏，胎盘绒毛直接侵入肌层导致的［1］。相关的临床资料表 明［2】，随着流产率和剖宫产率的增多，该疾病的发病率正呈逐年上升的趋势， 因此，如何有效治疗产后胎盘植入成为了临床研究的重点议题。本文为进一步探 讨产后胎盘植入宫腔镜的疗效，特选择了我院收治的产后胎盘植入患者80例作 为研究对象，分别采取米非司酮结合刮