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目的探究宫腔镜切除术治疗内生型剖宫产瘢痕妊娠(CSP)的临床疗效及安全性。方法选择2012年5月至2016年2月符合选取标准的64例内生型CSP患者,根据手术方式不同分为对照组与研究组,每组32例。对照组行腹腔镜手术,研究组行宫腔镜手术。对比两组围术期相关指标水平,并统计两组并发症发生率。结果研究组手术用时、术中出血量、住院时间、月经恢复时间均明显少于对照组,差异有统计学意义(P<0.05),两组宫腔引流量、血清β-HCG恢复正常水平用时比较差异未见统计学意义(P>0.05);研究组并发症发生率(9.39%)明显低于对照组(46.90%),差异有统计学意义(P<0.05)。结论采用宫腔镜切除术治疗内生型剖宫产瘢痕妊娠效果显著,可有效减少手术用时及出血量,缩短月经恢复时间,且并发症发生率较低,具有安全性。
Objective To investigate the clinical efficacy and safety of hysteroscopic resection of endometrial cesarean scar pregnancy (CSP). Methods Sixty-four patients with endogenous CSP who met the selection criteria from May 2012 to February 2016 were divided into control group and study group with 32 cases in each group according to different surgical methods. The control group underwent laparoscopic surgery, the study group underwent hysteroscopic surgery. Comparing the two groups of perioperative related indicators, and statistics of the incidence of complications in both groups. Results The operation time, intraoperative blood loss, hospital stay, menstruation recovery time were significantly less than the control group, the difference was statistically significant (P <0.05), the two groups of uterine drainage volume, serum β-HCG returned to normal levels There was no significant difference between the two groups (P> 0.05). The incidence of complications in the study group (9.39%) was significantly lower than that in the control group (46.90%), the difference was statistically significant (P <0.05). Conclusion Hysteroscopic resection of cesarean scar endometriosis pregnancy effect is significant, which can effectively reduce the time of operation and bleeding, shorten the recovery time of menstruation, and the incidence of complications is low, with safety.