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目的探讨宫腔镜下治疗剖宫产后瘢痕妊娠的临床疗效和应用价值。方法对我院收治59例剖宫产后瘢痕妊娠患者进行宫腔镜下清宫治疗。结果所有患者均顺利完成手术,手术时间15~35min,平均19.7±3.3min,出血量36~68ml,平均45.2±9.1ml,均为1次切净,平均住院3.5±0.8d。结论宫腔镜下治疗瘢痕妊娠具有可视性好、有效性高、操作简便、不良反应少等优点,大大提高了患者的生命率和生育率,值得推广应用。
Objective To investigate the clinical effect and application value of hysteroscopic treatment of cesarean scar pregnancy. Methods 59 cases of cesarean scar pregnancy in our hospital were treated by hysteroscopic curettage. Results All the patients underwent surgery successfully. The operation time was 15-35 minutes (average 19.7 ± 3.3min) and the amount of bleeding was 36-68ml (average 45.2 ± 9.1ml). Conclusion Hysteroscopic treatment of scar pregnancy with good visibility, high efficiency, simple operation, fewer adverse reactions, which greatly improves the patient’s life rate and fertility, it is worth to promote the application.