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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%
