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目的研究分析剖宫产切口瘢痕妊娠结局的影响。方法 56例剖宫产切口瘢痕妊娠住院患者,按照入院顺序分为对照组和观察组,各28例。对照组患者经过初次诊断确诊为瘢痕妊娠,观察组患者经过初次诊断确诊为宫内妊娠,观察两组患者入院前出血量、手术前血人绒毛膜促性腺激素(β-HCG)水平、休克发生率、术中出血量以及并发症发生情况,并进行对比。结果观察组患者手术前血β-HCG水平值与对照组相比相对较低,差异具有统计学意义(P<0.05);观察组患者入院前出血量、术中出血量以及休克发生率与对照组相比,差异无统计学意义(P>0.05);两组患者都没有发生腹腔大出血以及子宫破裂。结论剖宫产切口瘢痕妊娠经过积极有效的处理,大多数患者能够避免发生严重的子宫破裂以及腹腔大出血情况。
Objective To study the effect of cesarean section scar pregnancy outcome. Methods 56 cases of cesarean section scar pregnancy inpatients, according to the order of admission was divided into control group and observation group, 28 cases in each. Patients in the control group were diagnosed as scar pregnancy after initial diagnosis. Patients in the observation group were diagnosed as intrauterine pregnancy after initial diagnosis. Blood loss before admission, blood chorionic gonadotropin (β-HCG) level and shock were observed before and after operation Rate, intraoperative blood loss and complications, and compared. Results The preoperative serum levels of β-HCG in the observation group were significantly lower than those in the control group (P <0.05). The incidence of preoperative bleeding, intraoperative blood loss and the incidence of shock in the observation group were significantly lower than those in the control group There was no significant difference between the two groups (P> 0.05). No bleeding in the abdominal cavity and uterine rupture occurred in both groups. Conclusion Cesarean section scar pregnancy has been actively and effectively treated, and most patients can avoid severe uterine rupture and severe abdominal bleeding.