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目的观察产后胎盘植入患者行宫腔镜治疗的临床疗效。方法回顾性分析医院2 0 1 3年7月-2 0 1 5年7月收治的1 2 0例产后胎盘植入患者的临床资料,观察宫腔镜治疗的效果。结果在1 2 0例患者中,一次清宫成功1 1 2例,成功率93.3%。手术时间(3 3.4±2.5)min,术中出血量(3 1.2±1.8)ml。无患者出现严重手术并发症。经过治疗之后,1 2 0例患者均康复出院,治愈率1 00.0%。出院后1个月,1 2 0例患者子宫均恢复正常;血β-HCG[(8.6±2.3)d]降至正常;月经复潮时间(3.6±1.4)个月。结论临床采用宫腔镜治疗产后胎盘植入患者时,可降低子宫内膜受到的损害,具有良好的治疗效果。
Objective To observe the clinical effect of hysteroscopy in the treatment of postpartum placenta accreta. Methods The clinical data of 120 cases of postpartum placenta accreta patients who were admitted to hospital from July 20, 2001 to July 2005 were retrospectively analyzed. The effect of hysteroscopy was observed. Results Among 120 patients, 112 cases were successful in the curettage and the success rate was 93.3%. The operative time (3.4 ± 2.5) min and the intraoperative blood loss (3 1.2 ± 1.8) ml. No patient experienced serious surgical complications. After treatment, 120 patients were discharged and recovered with a cure rate of 100.0%. At 1 month after discharge, the uterus of 120 patients returned to normal; the serum β-HCG [(8.6 ± 2.3) d] was normal; and the period of menstruation was (3.6 ± 1.4) months. Conclusion Hysteroscopy treatment of postpartum placenta accreta patients, can reduce the damage to the endometrium, with good therapeutic effect.