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目的:探讨经阴道手术治疗剖宫产瘢痕部位妊娠的体会。方法:回顾性分析2011年9月至2014年9月经我院诊断为剖宫产瘢痕部位妊娠并行使阴道手术治疗的50例患者,按阴道手术常规操作,将宫颈阴道部与阴道前壁交界处支撑,横向切开阴道前壁,膀胱腹膜上推2~3cm,暴露病灶,将子宫前壁下段适当切开,吸出病灶。结果:经阴道手术治疗的50例病人,术后住院3~5d,平均4d,出院后随访1~3个月,所有患者血绒毛膜促性腺激素于4周内降至正常水平,于2个月内月经恢复正常。结论:经阴道手术治疗剖宫产瘢痕部位妊娠安全、有效、术后恢复快,临床应用价值大。
Objective: To explore the experience of transvaginal surgery for cesarean scar pregnancy. Methods: From September 2011 to September 2014, 50 cases of pregnancy diagnosed as cesarean scar pregnancy and vaginal surgery were retrospectively analyzed. According to the routine operation of vaginal surgery, the cervical vagina and the vaginal anterior wall junction Support, transverse incision vaginal anterior wall, bladder peritoneum push 2 ~ 3cm, exposing the lesion, the lower anterior segment of the uterus appropriate incision, sucking out the lesion. Results: Fifty patients who underwent vaginal surgery were hospitalized 3 to 5 days after operation for an average of 4 days and were followed up for 1 to 3 months after discharge. Blood chorionic gonadotropin in all patients dropped to normal levels within 4 weeks, Menstrual period returned to normal within months. Conclusion: Transvaginal surgical treatment of cesarean section scar pregnancy safe, effective, fast recovery, clinical application of great value.