经阴道子宫瘢痕妊娠病灶切除术与经腹子宫瘢痕妊娠病灶切除治疗剖宫产瘢痕妊娠的效果对比.doc

精品论文 参考文献 经阴道子宫瘢痕妊娠病灶切除术与经腹子宫瘢痕妊娠病灶切除治疗剖宫产瘢痕妊娠的效果对比 齐齐哈尔市甘南县人民医院 162100 摘要： 目的 研究分析经阴道子宫瘢痕妊娠病灶切除术治疗剖宫产瘢痕妊娠（CSP）的效果。方法 此次研究的对象是选择2012年1月至2014年7月间收治的CSP患者92例，将其临床资料进行回顾性分析，并随机分为经阴道组与经腹组，经阴道组使用经阴道子宫瘢痕妊娠病灶切除术，经腹组使用经腹子宫瘢痕妊娠病灶切除术，比较两组的治疗效果。结果 两组的治疗效果差异无统计学意义（Pgt;0.05），经阴道组的手术时间、术后住院时间短于经腹组，术中出血量少于经腹组（Plt;0.05），经阴道组HCG恢复至正常水平的时间、病灶缩小的时间和月经复潮的时间均短于经腹组（Plt;0.05），经阴道组的并发症发生率显著低于经腹组（Plt;0.05）。结论 经阴道子宫瘢痕妊娠病灶切除术在治疗CSP方面可以取得与经腹子宫瘢痕妊娠病灶切除术相近的效果，但手术创伤更小，患者术后恢复更快，并发症发生风险更低。 　　关键词： 瘢痕妊娠；剖宫产；异位妊娠；手术 [Abstract] Objective To study the effect of transvaginal hysterectomy for the treatment of cesarean scar pregnancy（CSP）. Methods in this study，the object is to choose from 2012 to July 1 to February 2014，92 cases of patients with CSP，their clinical data were retrospective analysis，and divided for transvaginal group and the group of abdominal，transvaginal group using transvaginal uterine scar pregnancy lesion resection，transabdominal group using transabdominal uterine scar pregnancy lesion resection，compared with two groups of therapeutic effect. Results the curative effect between the two groups no significant（P gt; 0.05）. After the vaginal group the operative time，hospitalization time is shorter than the abdominal group，intraoperative bleeding volume less than transabdominal group（P lt; 0.05）. The vaginal group hCG，recovery time and reduced to normal level in time，focus on the compound tide time were shorter in the abdominal group（P lt; 0.05）and the complications associated with vaginal group occurrence was significantly lower than that of the transabdominal group（P lt; 0.05）. Conclusion transvaginal uterine scar pregnancy lesion resection in the treatment of CSP can obtain and abdominal uterine scar pregnancy lesion resection operation of similar effect，but less operative trauma，postoperative recovery faster，the risk of complications of lower. Scar pregnancy；cesarean section；ectopic pregnancy；operation 剖宫产瘢痕妊娠（cesarean scar pregnancy，CSP）是指孕囊种植在之前剖宫产切口瘢痕处的一种异位妊娠，临床上较为少见[1