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1、腹腔镜在治疗剖宫产后子宫瘢痕妊娠中的应用价值[摘要]目的探讨腹腔镜在治疗剖宫产后子宫瘢痕妊娠(CSP)屮的临床效果、安全性及其应用价值。方法选取31例剖宫产瘢痕妊娠患者为研究对象,分为观察组和对照组。观察组患者实行腹腔镜行妊娠病灶切除术及子宫修补术,对照组患者行中转开腹行病灶楔形切除及子宫修补术。结果观察组显效10例,有效5例,无效1例,总有效率为93.6%;对照组显效6例,冇效5例,无效4例,总冇效率73.3%,两组疗效比较差异具有统计学意义(1X0.05);在治疗I型病例时,观察组疗效明显优于对照组,差异具有统
2、计学意义(P〈0・05)。结论腹腔镜技术在子宫切口瘢痕妊娠的治疗中具有比较重要的意义。腹腔镜具有术中出血少、疼痛轻、术后恢复快、住院时间短、可保留患者生育功能、切口美观等优越性,可有效控制创面,提高患者保留牛育能力的概率,是异位妊娠首选的手术方式,值得推广。[关键词]腹腔镜;剖宫产后子宫瘢痕妊娠[中图分类号]R714.2[文献标识码]B[文章编号]1673-9701(2013)36-0159-02Applicationvalueoflaparoscopeinthetreatmentofcesareanscarpre
3、gnancyWANGHonglingShenyangWomensandChildren^sHospital,Shenyang110000,China[Abstract]ObjectiveToevaluatetheclinicaleffect,safetyandapplicationvalueoflaparoscopeinthetreatmentofcesareanscarpregnancy(CSP)•MethodsThirty-onecasesofpatientswithcesareanscarpregnancyw
4、ereselectedastheresearchobject,theywererandomlydividedintotheobservationgroupandthecontrolgroup,thepatientsintheobservationgroupweretreatedwithlaparoscopicpregnancylesionresectionanduterusrepair,whilethecontrolgroupweretreatedwithlaparotomyof1esionwedgeresecti
5、onanduterusrepair・ResultsIntheobservationgroup,10casesweremarkedlyeffective,5caseswereeffective,1casewasineffective,andthetotaleffectiveratewas93.6%;Inthecontrolgroup,6casesweremarkedlyeffective,5caseswereeffective,4casewereineffective,andthetotaleffectiverate
6、was73.3%,thereweresignificantdifferencesbetweenthetwogroups(P<0.05);InthetreatmentoftypeI,thecurativeeffectofobservationgroupwasobviouslybetterthanthatofcontrolgroup(P<0.05)•ConclusionLaparoscopyhasimportantsignificanceinthetreatmentofcesareanscarpregnancy.Lap
7、aroscopicsurgeryhasthesuperiorityoflessbleeding,lesspain,rapidpostoperativerecovery,shorterhospitalizationtime,keepthereproductivefunction,andbeautifulincision,itcaneffectivelycontrolthewound,improvetheprobabilityoffertility,soit'sthepreferredsurgicalmethodofe
8、ctopicpregnancy,andworthyofpromotion.[Keywords]Laparoscope;Cesareanscarpregnancy剖宫产术后子宫瘢痕妊娠(cesareanscarpregnancy,CSP)是指孕囊、受精卵或胚胎着床于剖宫产子宫切口瘢痕处,是一种特殊类型异位妊娠,在所有妊娠中的发病率为1:2226(约0.449%