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目的:探讨宫腔镜监测下清宫术治疗剖宫产瘢痕妊娠(CSP)患者的临床疗效。方法:将2014年2月至2015年11月来该院就诊的60例剖宫产瘢痕妊娠患者作为研究对象,通过回顾分析法,选取30例剖宫产瘢痕妊娠患者为对照组,另30例为研究组,对照组采取常规方法进行治疗,研究组采取宫腔镜监测下清宫术治疗,对比两组患者的临床疗效、手术时间、术中出血量、清宫率、住院时间与费用。结果:研究组的治疗效果、手术时间、术中的出血量、清宫率、住院时间明显要优于对照组,而费用则比对照组高(P<0.05)。结论:对剖宫产瘢痕妊娠患者实施宫腔镜下清宫术治疗,手术时间短,清宫率低,效果显著,值得临床推广使用。
Objective: To investigate the clinical effect of hysteroscopy in the treatment of cesarean scar pregnancy (CSP). Methods: Sixty patients with cesarean scar pregnancy who came to the hospital from February 2014 to November 2015 were selected as research objects. By retrospective analysis, 30 pregnant women with cesarean scar pregnancy were selected as the control group. The other 30 patients The study group and the control group were treated by conventional methods. The study group underwent hysteroscopy under the Qing curettage. The clinical efficacy, operative time, intraoperative blood loss, curettage rate, hospitalization time and cost were compared between the two groups. Results: The study group’s treatment effect, operation time, intraoperative blood loss, curettage rate and hospital stay were significantly better than those of the control group, while the cost was higher than that of the control group (P <0.05). Conclusion: Hysteroscopic cataract curettage of cesarean scar pregnancy patients with short operative time, low curettage rate and significant effect is worthy of clinical promotion and use.