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徐州栋,陈海东,刘伟国,张海英,熊爱群.腹腔镜下子宫瘢痕妊娠病灶切除术的临床应用研究[J].中国医药科学,2020,(8):103-105        基金项目:广东省河源市社会发展科技计划项目(河 科 [2017]65 号 -35)。
腹腔镜下子宫瘢痕妊娠病灶切除术的临床应用研究
Study on the clinical application of laparoscopic lesionectomy for caesarean scar pregnancy
  
DOI:
中文关键词:  腹腔镜;CSP;子宫瘢痕妊娠;切除术
英文关键词:Laparoscopic;CSP;Caesarean scar pregnancy;Lesionectomy
作者单位
徐州栋,陈海东,刘伟国,张海英,熊爱群 广东省河源市妇幼保健院妇产科,广东河源 517000 
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中文摘要:
      [ 摘要 ]?目的 研究在腹腔镜下对剖宫产术后的子宫瘢痕妊娠(CSP)患者的临床效果。方法 选取 2017 年 5 月~ 2019 年 9 月我院收治的 60 例 CSP 患者,根据治疗手段不同分为两组,各 30 例。A 组采用腹腔镜下 CSP 病灶清除及修补术;B 组采用腹式病灶清除术。比较两组 CSP 患者的术中出血量、手术时间、月经复潮 时间、肛门排气时间、住院时间、总住院费用及并发症发生率。 结果 A 组的手术时间,总住院费用大于 B 组, 差异有统计学意义(P < 0.05);A 组的肛门排气时间、住院时间小于 B 组,差异有统计学意义(P < 0.05); A 组的术中出血量小于 B 组,差异有统计学意义(P < 0.05);两组患者的复潮时间比较,差异无统计学意 义(P > 0.05);A 组的并发症发生率为 6.67%,小于 B 组的 40.00%,差异有统计学意义(P < 0.05)。 结 论 在对子宫瘢痕进行治疗上,可以首选腹腔镜下 CSP 病灶清除及修补术,此手术恢复时间短,切口小,对患 者的再次妊娠时 CSP 发生率降低。
英文摘要:
      [Abstract] Objective To study the clinical effect of laparoscopy on patients with caesarean scar pregnancy (CSP) after caesarean section. Methods 60 patients with CSP admitted and treated in our hospital from May 2017 to September 2019 were selected,and were divided into two groups according to different therapeutic methods,with 30 patients in each group.Laparoscopic CSP lesion clearance and repair was carried out on group A;While abdominal lesion clearance was carried out on group B.The intraoperative bleeding volume,operation time,menstrual recurrence time,anal exhaust time,duration of hospitalization,total hospitalization cost,and incidence of complications were compared between the two groups with CSP. Results The operation time and total hospitalization cost in group A were higher than those in group B,and the difference was statistically significant (P < 0.05);The anal exhaust time and duration of hospitalization in group A were lower than those in group B,and the difference was statistically significant (P < 0.05);The intraoperative bleeding volume in group A was less than that in group B,and the difference was statistically significant (P < 0.05);The difference in menstrual recurrence time between the two groups of patients was not statistically significant; the incidence of complications in group A was 6.67%,which was less than that in group B (40.00%),and the difference was statistically significant (P < 0.05). Conclusion For the treatment of uterine scar, laparoscopic CSP lesion clearance and repair can be the first choice.This operation has shorter recovery time,small incision,and reduced incidence of CSP in the second pregnancy of patients.
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