解放军医学院学报2018，Vol.39Issue(12)：1052-1054,1071,4.DOI:10.3969/j.issn.2095-5227.2018.12.006
宫腹腔镜联合手术治疗Ⅲ型瘢痕妊娠的疗效评价
Combined laparoscopic and hysteroscopic surgery in treatment of typeⅢcesarean scar pregnancy
摘要
Abstract
Objective To review the clinical data about patients with typeⅢcesarean scar pregnancy (CSP) and explore the clinical value of laparoscopic and hysteroscopic gynecological surgery.Methods Totally 66 patients with typeⅢCSP who were treated in our hospital from June 2013 to June 2018 were selected as research subjects.According to the operation methods, they were divided into three groups, combined laparoscopic and hysteroscopic gynecological surgery group (group A, n=31) , laparoscopic surgery alone group (group B, n=23) and transvaginal surgery group (group C, n=12) .The operative and therapeutic indicators were analyzed and compared.Results The number of patients in group A underwent uterine artery embolization or uterine artery occlusion was less than that in group B and group C[14 cases (45.2％) vs 17 cases (73.9％) and 10 cases (83.3％) , P=0.024].No patient transferred to other operation in group A, but 2 cases in group B and 2 cases in group C had transferred to other operation.The treatment costs of group C was significantly less than that of group A and group B[ (13 820.5±2 281.3) yuan vs (19 602.9±3 630.7) yuan and (21 471.1±4 421.8) yuan, P<0.001].There was no significant difference in other indicators.Conclusion Combined laparoscopic and hysteroscopic surgery for treatment of typeⅢCSP can reduce the rate of uterine artery embolization/occlusion, facilitate the evaluation of the disease, reduce the risk of surgery and ensure the efficacy.关键词
瘢痕妊娠/宫腔镜手术/腹腔镜手术/阴式手术Key words
cesarean scar pregnancy/hysteroscopic surgery/laparoscopic surgery/vaginal surgery分类
医药卫生引用本文复制引用
高艳华,魏杏茹,李全香,杨平芳,严凤..宫腹腔镜联合手术治疗Ⅲ型瘢痕妊娠的疗效评价[J].解放军医学院学报,2018,39(12):1052-1054,1071,4.基金项目
河北省保定市科学技术和知识产权局(17ZF055) （17ZF055）
