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目的:探讨采用B超引导下清宫术、经腹腔镜或经阴道行妊娠物清除并行瘢痕修补术治疗Ⅱ型子宫瘢痕妊娠的效果。方法:回顾分析2014年9月至2016年9月南方医科大学附属深圳市妇幼保健院收治的70例Ⅱ型CSP患者的临床资料,按手术方式分组:清宫组(29例)、经腹腔镜组(16例)、经阴道组(25例)。比较患者的妊娠、手术、住院时间等情况。结果:与经腹腔镜组、经阴道组比较,清宫组的手术时间短、术中出血量少、住院时间短、费用低,差异均有统计学意义(P<0.05)。3组的术后HCG下降率、HCG降至正常时间、月经恢复时间、病灶消失时间比较,差异均无统计学意义(P>0.05)。结论:对于Ⅱ型CSP患者,B超引导下行清宫术是可行的。
OBJECTIVE: To investigate the effect of radical cystectomy guided by B-ultrasound in the treatment of type Ⅱ uterine scar pregnancy by laparoscopic or transvaginal eradication of pregnancy and concurrent scar repair. Methods: The clinical data of 70 type Ⅱ CSP patients admitted to Shenzhen Maternal and Child Health Hospital affiliated to Southern Medical University from September 2014 to September 2016 were retrospectively analyzed. The patients were divided into two groups according to the operation: Qinggong (29 cases), laparoscopic (16 cases) and transvaginal group (25 cases). Compare the patient’s pregnancy, surgery, hospitalization time and so on. Results: Compared with the laparoscopic group and transvaginal group, the operation time of Qinggong group was shorter, the amount of blood loss was less, the hospitalization time was shorter, the cost was lower, the difference was statistically significant (P <0.05). There was no significant difference between the three groups in postoperative HCG descent rate, HCG normal time, menstruation recovery time and lesion disappearance time (P> 0.05). Conclusion: For type CSP patients, B-guided ultrasonography is feasible.