中国医科大学学报2019，Vol.48Issue(1)：58-61,4.DOI:10.12007/j.issn.0258-4646.2019.01.012
不同微创手术对Ⅱ型剖宫产瘢痕妊娠的治疗效果分析
Treatment Efficacy Analysis in Patients with Type Ⅱ Cesarean Scar Pregnancy Treated with Different Minimally Invasive Surgical Methods
摘要
Abstract
Objective To discuss the clinical effects of hysteroscopy and hysteroscopy combined with laparoscopy on typeⅡcesarean scar pregnancy (CSP). Methods We selected 58 patients diagnosed as having typeⅡCSP in Shengjing Hospital, China Medical University, between February 2013 and January 2016. Group A consisted of 36 patients who were treated with hysteroscopic CSP resection, while group B consisted of 22 patients treated with hysteroscopy combined with laparoscopic CSP resection and uterine repair. We compared the operation condition, single-operation success rate, postoperative recovery, and succeeding pregnancy outcome. Results The operation time in group A was 26.6±4.9 min, which was obviously shorter than that in group B. The bleeding volume in group A was 71.9±9.7 mL, which was obviously less than that in group B. No operation complication occurred in the two groups. The single-operation success rate was83.3％ in group A and 86.4％ in group B, indicating no significant difference. No significant differences in menstruation recovery and the rate of decrease in human chorionic gonadotropin level to normal were found between groups A and B. Conclusion Both hysteroscopy and hysteroscopy combined with laparoscopy can be used to treat typeⅡcesarean scar pregnancy.关键词
剖宫产/瘢痕妊娠/宫腔镜/腹腔镜/手术治疗Key words
cesarean section/cesarean scar pregnancy/hysteroscopy/laparoscopy/surgical treatment分类
医药卫生引用本文复制引用
张宁宁,杨清..不同微创手术对Ⅱ型剖宫产瘢痕妊娠的治疗效果分析[J].中国医科大学学报,2019,48(1):58-61,4.基金项目
辽宁省科学事业公益研究基金 (GY-2017-0017) （GY-2017-0017）
