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1、[摘要]目的探?剖宮產(chǎn)術(shù)后子宮瘢痕妊娠治療方法。方法選取本院婦產(chǎn)科2015年1月?2016年1月接收治療的60例剖宮產(chǎn)后瘢痕妊娠患者為研究對象,按照治療方法不同進行分組。將接受藥物保守治療后宮腔鏡電切除術(shù)的30例瘢痕妊娠患者作為對照組,將接受經(jīng)陰道子宮瘢痕妊娠病灶切除術(shù)的另外30例瘢痕妊娠患者作為觀察組,比較兩組瘢痕妊娠患者的臨床治療效果。結(jié)果觀察組30例瘢痕妊娠患者中。痊愈26例,好轉(zhuǎn)4例,無效0例,總有效率100.0%o對照組30例瘢痕妊娠患者中,痊愈15例,好轉(zhuǎn)10例,無效5例,治療有效率83.3%。由
2、此可見,觀察組瘢痕妊娠患者的臨床效果要顯著于對照組瘢痕妊娠患者的臨床效果,并且差異有統(tǒng)計學意義(P[關(guān)鍵詞]瘢痕妊娠;剖宮產(chǎn)后;經(jīng)陰道子宮疤痕妊娠病灶切除術(shù);藥物保守;宮腔鏡[中圖分類號]R719.8[文獻標識碼]A[文章編號]2095-0616(2017)06-67-04[Abstract]ObjectiveToexplorethetreatmentmethodofuterinescarpregnancyaftercesareansection.Methods60patientswithscarpregna
3、ncyaftercesareansectionwereselectedanddividedintogroupsaccordingtotheintentionofscarpregnancyandtheirrelatives.30patientsincontrolgroupweretreatedwithscarpregnancyunderwenthysteroscopicelectrosurgicalexcisionfollowedbyconservativetreatment.Theother30patient
4、swithscarpregnancyinobservationgroupweretreatedwithtransvaginalhysterectomy.Thescarpregnancytreatmenteffectsofthetwogroupswerecompared.ResultsAmongthe30casesofscarpregnancypatientsinobservationgroup,therewere26casesrecovered,4casesimproved,0casesofinvalid,a
5、ndthetotaleffectiverateof100.0%.Amongthe30casesofscarpregnancyincontrolgroup,15caseswerecured,10casesimproved,5caseswereinvalid,andthetreatmenteffectiveratewas83.3%(P[Keywords]Scarpregnancy;Cesareansection;Transvaginaluterinescarpregnancyresection;Drugconse
6、rvative;Hysteroscopy剖宮產(chǎn)子宮切口瘢痕妊娠可簡稱為CSP,此癥狀屬于剖宮產(chǎn)術(shù)后較為常見的并發(fā)癥之一,一直以來,屬于一種罕?的卻十分危險的孕囊或胚胎組織種植于sectionwereselectedanddividedintogroupsaccordingtotheintentionofscarpregnancyandtheirrelatives.30patientsincontrolgroupweretreatedwithscarpregnancyunderwenthysteroscopic
7、electrosurgicalexcisionfollowedbyconservativetreatment.Theother30patientswithscarpregnancyinobservationgroupweretreatedwithtransvaginalhysterectomy.Thescarpregnancytreatmenteffectsofthetwogroupswerecompared.ResultsAmongthe30casesofscarpregnancypatientsinobs
8、ervationgroup,therewere26casesrecovered,4casesimproved,0casesofinvalid,andthetotaleffectiverateof100.0%.Amongthe30casesofscarpregnancyincontrolgroup,15caseswerecured,10casesimproved,5caseswereinvalid,a