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目的观察宫腔镜在治疗内生型剖宫产瘢痕妊娠中的应用效果。方法选取2014年9月—2015年7月邯郸市第一医院收治的内生型剖宫产瘢痕妊娠患者90例,按就诊编号单号纳入对照组(n=45)、双号纳入观察组(n=45)。对照组连续服用5d的米非司酮后实施常规吸宫术治疗,观察组采用宫腔镜进行负压吸宫术治疗。比较两组手术相关指标、住院时间、血清人绒毛膜促性腺激素(β-HCG)转阴时间、阴道出血时间、并发症发生情况和满意度。结果两组患者的手术时间比较,差异无统计学意义(P>0.05);观察组患者的术中出血量、住院时间、血清β-HCG转阴时间、阴道出血时间及并发症发生率低于对照组,满意度高于对照组,差异有统计学意义(P<0.05)。结论宫腔镜在治疗内生型剖宫产瘢痕妊娠中的应用效果确切,可有效减少阴道出血时间及术中出血量,降低并发症发生率,提高患者对治疗效果的满意度。
Objective To observe the effect of hysteroscopy in the treatment of endocervical cesarean scar pregnancy. Methods Ninety cases of endocervical cesarean scar pregnancy admitted to the First Hospital of Handan from September 2014 to July 2015 were enrolled in the control group (n = 45) according to the treatment number and the double numbers were included in the observation group n = 45). The control group took 5d of mifepristone continuously after the implementation of conventional suction therapy, the observation group using hysteroscopy for suction therapy. The operation-related indexes, length of hospital stay, time of serum human chorionic gonadotropin (β-HCG) conversion, vaginal bleeding time, complications and satisfaction were compared between the two groups. Results There was no significant difference in operative time between the two groups (P> 0.05). The intraoperative blood loss, length of hospital stay, serum β-HCG negative time, vaginal bleeding time and complication rate in the observation group were lower than those in the observation group In the control group, the satisfaction was higher than that in the control group (P <0.05). Conclusion Hysteroscopy in the treatment of endocervical cesarean scar pregnancy with the exact effect, can effectively reduce the vaginal bleeding time and intraoperative bleeding, reduce the incidence of complications and improve patient satisfaction with the treatment effect.