本文選題：剖宮產(chǎn) + 剖宮產(chǎn)術(shù)后切口瘢痕妊娠��； 參考：《醫(yī)學(xué)與哲學(xué)(B)》2015年02期

【摘要】：為了探討宮腔鏡在剖宮產(chǎn)術(shù)后切口瘢痕妊娠(CSP)治療中的臨床應(yīng)用價(jià)值及治療后體會(huì),回顧性分析內(nèi)生型剖宮產(chǎn)術(shù)后切口瘢痕妊娠患者39例,術(shù)前均應(yīng)用米非司酮或加用甲氨蝶呤降低血β-HCG水平,之后在B超監(jiān)測(cè)下采用宮腔鏡下清宮術(shù)或病灶電切術(shù)為研究組,采用傳統(tǒng)的負(fù)壓吸宮術(shù)為對(duì)照組。對(duì)患者停經(jīng)時(shí)間、術(shù)前血β-HCG值、術(shù)中出血量、手術(shù)時(shí)間、住院時(shí)間,術(shù)后血β-HCG下降正常所需時(shí)間以及月經(jīng)恢復(fù)時(shí)間進(jìn)行對(duì)比分析。結(jié)果所有患者手術(shù)均順利完成,術(shù)后隨訪3個(gè)月,對(duì)照組術(shù)中平均出血量,血β-HCG降至正常的時(shí)間及月經(jīng)恢復(fù)時(shí)間均明顯高于研究組,其差異有統(tǒng)計(jì)學(xué)意義(P0.05)。因此在米非司酮或加用甲氨蝶呤預(yù)處理的基礎(chǔ)上,聯(lián)合B超監(jiān)測(cè),宮腔鏡作為一種微創(chuàng)技術(shù)治療內(nèi)生型CSP患者是安全、有效的,具有非常重要的臨床開展價(jià)值。
[Abstract]:In order to explore the clinical application value and experience of hysteroscopy in the treatment of incision scar pregnancy (CSP) after cesarean section, 39 cases of incisional scar pregnancy after cesarean section were retrospectively analyzed. Before operation, mifepristone or methotrexate were used to reduce serum 尾 -HCG level, then hysteroscopic hysteroscopy or focal electrotomy was used as the study group, and traditional negative pressure suction was used as the control group. The postmenopausal time, preoperative blood 尾 -HCG value, intraoperative bleeding volume, operation time, hospitalization time, the time required for the normal decline of serum 尾 -HCG and the recovery time of menstruation were compared and analyzed. Results all the patients were successfully operated. The average blood loss, the time of blood 尾 -HCG decreased to normal and the menstrual recovery time in the control group were significantly higher than those in the study group after 3 months follow-up. The difference was statistically significant (P 0.05). So on the basis of mifepristone or methotrexate pretreatment combined with B-ultrasound monitoring hysteroscopy as a minimally invasive technique in the treatment of endogenous CSP patients is safe effective and has a very important clinical value.
【作者單位】： 大連大學(xué)附屬中山醫(yī)院婦產(chǎn)科;
【分類號(hào)】：R714.22

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本文編號(hào)：1934870