经阴道瘢痕切除与介入联合清宫术在瘢痕妊娠治疗中的比较

《经阴道瘢痕切除与介入联合清宫术在瘢痕妊娠治疗中的比较》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、经阴道瘢痕切除与介入联合清宫术在瘢痕妊娠治疗中的比江苏省盐城市第三人民医院妇产科江苏盐城224000【摘要】目的对比经阴道瘢痕切除与介入联合清宫术在治疗瘢痕妊娠的临床疗效方法将40例瘢痕妊娠患者随机分为试验组和对照组各20例，试验组于硬膜外麻醉卜行经阴道瘢痕切除，对照组局麻K给予子宫动脉栓塞联合清宫术治疗。对比2组手术时间、术中出血量、住院时间、医疗费用、血β-hCG转阴时间和临床治愈率等。结果试验组手术时间少于对照组，住院时间少于对照组，医疗费用明显低于对照组，血β-hCG转阴时间小于对照组，患者治愈率高于对照组，差异均有统计学意义（P<0.05

2、）,试验组术屮出血量与对照组差异无统计学意义（P〉0.05）。结论经阴道瘢痕切除与介入联合淸宫术相比在治疗瘢痕妊娠上具有疗效显著，经济安全等优点，是一种安全有效的微创手术，值得临床推广使用。【关键词】瘢痕妊娠；经阴道瘢痕切除；子宫动脉栓塞；淸宫Analysisofcurativeeffectbytwosurgicalmethodsoftransvaginalscarresectionanduterinearteryembolizationcombinedwithultrasound-guidedcurettageinthetreatmentofcesareanscar

3、pregnancyWanghongmei.theThirdPeople’sHospitalofYancheng,224000,China[Abstract]ObjectiveToanalyzeandcompareclinicaleffectsbytwosurgicalmethodsoftransvaginalscarresectionanduterinearteryembolizationcombinedwithultrasound-guidedcurettageinthetreatmentofcesareanscarpregnancy.MethodsAt

4、otalof40CSPpatientswererandomlydividedintotheexperimentalgroupandcontrolgroup，20casesineachgroup.Theexperimentalgroupadoptedtransvaginalscarresectionunderepiduralanesthesia，whilethecontrolgroupadopteduterinearteryembolizationunderlocalanesthesiacombinedwithultrasound-guidedcurettage.Com

5、parisonsweremadeonoperationtime,intraoperativebleedingvolume，hospitalizationdaysandcost，humanchorionicgonadotropin(HCG)clearancetime,thecureratebetweenthetwogroups.ResultsThetransvaginalscarresectiongrouphadallbetteraverageoperationtime，averagehospitalizationdaysandcost,averageHCGcleara

6、ncetime，hadahighercureratethanthecontrolgroup,andthedifferencehadstatisticalsignificance(P<0.05).Therewasnostatisticallysignificantdifferenceoftheintraoperativebleedingvolumebetweenthetwogroups(P>0.05).ConclusionComparingwithuterinearteryembolizationcombinedwithultrasound-guidedcu

7、rettage，transvaginalscarresectioncontainsadvantagesintreatingcesareanscarpregnancy，Itisveryeconomicalandsafeminimallyinvasivesurgeryanditisworthyofpromotionandapplication.【Keywords］cesareanscarpregnancy；transvaginalscarresection；uterinearteryembolization；curettage【中图分类号】R981+.3