浅析剖宫产术后子宫斑痕妊娠的临床探究.docVIP

浅析剖宫产术后子宫斑痕妊娠的临床探究 四川绵阳四0四医院妇产科;2.放射科;3.检验科;4.肿瘤科四川绵阳621000 【摘要】目的：探究剖宫产术后子宫瘢痕妊娠的临床效果。方法：搜集木院妇 产科2014年4月-2015年3月诊治的68例剖宫产术后岀现子宫瘢痕妊娠的病患， 根据治疗方式不同分为观察组和参照组，分别给与手术治疗和药物保守治疗，分 析最终的临床效果。结果：1)观察组病患的治疗好转率97.1% (34/35)明显高 于参照组 78.8% (26/33), chi;sup2;=5.51, Plt;0.05； 2)治疗后两组病患的 血HCG明显低于治疗前，且观察组病患的血HCG值和住院时间明显低于参照组， Plt;0.05； 3)观察组病患并发症的发生率5.7% (2/35)明显低于参照组病患的 27.3% (9/33), chi;sup2;=5.82, Plt;0.05。结论：剖宫产术后子宫瘢痕妊娠采 用手术治疗的临床效果显著，可以有效提高治疗的好转率，缩短治疗时间和住院 时间，降低并发症的发生，临床应用效果好。 【关键词】剖宫产；术后；子宫瘢痕妊娠：临床效果 Shallow of Uterus Flecked the Clinical Pregnancy Cesarean Section Explored Tangqinl，Xing gao-shengl，peng jun-chenl，Wei Xue2，Tong Jin3, Wang Yu4 Department of Obstetrics and Gynecology，Mianyang No.404 Hospital，Sichuan； Department of Radiology； 3.Clinical Laboratory； 々.Department of Oncology， sichuan 621000 [Abstract] Objective： To explore the clinical effect of uterine cesarean section scar pregnancy.Methods： Collected in our hospital obstetrics and gynecology in April 2014 -March 2015, the diagnosis and treatment of 68 cases of uterine scar pregnancy after cesarean section patients，according to different treatment were divided into observation group and control group, respectively give the surgical treatment and medicine conservative treatment, analysis the clinical effect.Results： 1)97.1%(34/35) treatment， the observation group patients significantly higher than that of control group 78.8%(26/33)，chi;sup2;= 5.51，P lt; 0.05； 2)Two groups of patients after treatment of blood HCG significantly lower than before treatment, and the observation group of patients blood HCG value and hospitalization time significantly lower than the control group，P lt; 0.05； 3) The incidence of complications patients in observation group 5.7% (2/35) significantly lower than the control group patients (9/33)，27.3% of the chi;sup2;= 5.82, P lt; 0.05) .Conclusion： The use of surgical treatment of uterine cesarean section scar pregnancy clinical effect is remarkable, can effectively improve the treatment of the