三种术式治疗Ⅱ型子宫瘢痕妊娠70例临床分析

被引：8

作者：

曾薇薇

金平

古衍

袁桢

姚吉龙

机构：

[1] 南方医科大学附属深圳市妇幼保健院妇产科

来源：

现代妇产科进展 | 2017年 / 08期

关键词：

子宫瘢痕妊娠; 清宫术; 经腹腔镜; 经阴道;

D O I：

暂无

中图分类号：

R713.8 [异位妊娠手术];

学科分类号：

100211 [妇产科学];

摘要：

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。

引用

页码：616 / 618+623 +623

页数：4

共 12 条

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