|本期目录/Table of Contents|

[1]徐萍萍,曹莉莉,阎萍,等.子宫切口瘢痕妊娠经阴道与腹腔镜手术治疗的临床疗效比较[J].医学研究与战创伤救治(原医学研究生学报),2016,18(06):594-596.[doi:10.3969/j.issn.1672-271X.2016.06.010]
　XU Ping-ping,CAO Li-li,YAN Ping,et al.To evaluate the clinical curative effect of surgery treatment of cesarean scar pregnancy bylparoscopic and transvaginal[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(06):594-596.[doi:10.3969/j.issn.1672-271X.2016.06.010]
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子宫切口瘢痕妊娠经阴道与腹腔镜手术治疗的临床疗效比较()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年06期
页码:
594-596
栏目:
出版日期:
2016-11-20

文章信息/Info

Title:
To evaluate the clinical curative effect of surgery treatment of cesarean scar pregnancy bylparoscopic and transvaginal
作者:
徐萍萍1; 曹莉莉2; 阎萍2; 梁志清2; 徐惠成2
1.210002江苏南京，解放军81医院妇产科;2.400038重庆,第三军医大学西南医院妇产科
Author(s):
XU Ping-ping1;  CAO Li-li2;  YAN Ping2;  LIANG Zhi-qing2;  XU Hui-cheng2.
1.Department of Obstetrics and Gynecology, 81 Hospital of PLA, Nanjing, Jiangsu 210002, China; 2.Department of Obstetrics and Gynecology, Southwest Hospital, Third Military Medical University, Chongqing 400038, China
关键词:
瘢痕妊娠; 腹腔镜; 阴式手术
Keywords:
cesarean scar pregnancy;  laparoscopic;  transvaginal surgery
分类号:
R713.8
DOI:
10.3969/j.issn.1672-271X.2016.06.010
文献标志码:
A
摘要:
目的 探讨不同途径微创手术方式对剖宫产瘢痕妊娠（cesarean scar pregnancy，CSP）的治疗价值。方法 回顾性分析西南医院2013年2月-2015年5月32例外生型的剖宫产瘢痕妊娠（2级或3级 ）手术资料，其中20例行腹腔镜下瘢痕妊娠病灶清除术+切口修补术，12例行经阴道剖宫产瘢痕妊娠病灶清除术+切口修补术。结果 腹腔镜手术组手术时间（96.9±19.5）min，出血量（109.4±46.5） mL；经阴道手术组手术时间（36.3±8.2）min，出血量（57.9±16.3）mL.。两组间相比较，经阴道手术组手术时间明显缩短，出血量也较腹腔镜手术组明显减少，差异具有统计学意义（P＜0.01）。两 组平均住院时间、术后血人绒毛膜促性腺激素（HCG）下降至正常时间相比较，差异无统计学意义（P＞0.05）。结论 对于超声检查明确诊断为外生型切口瘢痕妊娠的患者，无论选择哪种手术方式，均 宜尽早实施，其中有良好阴道手术基础的医师，应尽量选择经阴道手术，能减少术中出血和缩短手术时间，并可很好修复缺陷瘢痕，是治疗外生型CSP的首选方法。
Abstract:
Objective To explore the value of treatment on cesarean section scar pregnancy (cesarean scar pregnancy, CSP) with different of minimally invasive surgery methods. Methods The retrospective analysis was carried out on data of 32 cases of southwest hospital which were operated because of cesarean scar pregnancy (level 2 to level 3) from February 2013 to May 2015. 20 patients underwent laparoscopic removal of lesions and incision scar pregnancy repair, and 12 patients underwent transvaginal surgery. Results The average surgery time were (96.9±19.5) min of laparoscopic group and (36.3±8.2) min of transvaginal surgical. The blood loss were (109.4 ±46.5) mL in laparoscopic group and (57.9±16.3) mL in transvaginal surgical group. The operation time of transvaginal group was obviously shortened and the bleeding also significantly decreased than laparoscopic group (P<0.05). The average hospital stay and the postoperative recovery time of HCG were not statistically significant between two groups (P>0.05). Conclusion The exogenous cesarean scar pregnancy diagnosed by ultrasound, laparoscopic surgery and transvaginal operations should be implemented as soon as possible. Transvaginal surgical should be chosen as the first method for the doctor who has good transvaginal surgical experiment. Transvaginal surgical is the preferred method for the treatment of exogenous type CSP because it can reduce intraoperative blood lose and shorten the operation time and is benefical for repair defects of scar.

参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2016-11-20