[1]傅君 黄勇*.宫腔镜与腹腔镜治疗内生型剖宫产瘢痕妊娠的比较[J].中国微创外科杂志,2015,15(10):894-896.
　Fu Jun,Huang Yong..Comparison of Hysteroscopic and Laparoscopic Treatment for Endogenous Type Cesarean Section Scar Pregnancy[J].Chinese Journal of Minimally Invasive Surgery,2015,15(10):894-896.
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宫腔镜与腹腔镜治疗内生型剖宫产瘢痕妊娠的比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
15
期数:
2015年10期
页码:
894-896
栏目:
临床论著
出版日期:
2015-10-20

文章信息/Info

Title:
Comparison of Hysteroscopic and Laparoscopic Treatment for Endogenous Type Cesarean Section Scar Pregnancy
作者:
傅君 黄勇*
（宁波市妇女儿童医院妇产科，宁波315012）
Author(s):
Fu Jun;  Huang Yong.
Department of Obstetrics and Gynecology,Ningbo Women and Children’s Hospital, Ningbo 315012, China
关键词:
剖宫产瘢痕妊娠; 内生型; 宫腔镜; 腹腔镜
Keywords:
Cesarean scar pregnancy; Endogenous type; Hysteroscopy; Laparoscopy
分类号:
R713.8
文献标志码:
A
摘要:
目的探讨宫腔镜切除术治疗内生型剖宫产瘢痕妊娠(cesarean scar pregnancy，CSP)的安全性及可行性。方法2012年8月~2014年2月58例内生型CSP分别采用宫腔镜下切除(宫腔镜组，n=31)和腹腔镜手术(腹腔镜组，n=27)，对2组术中出血量、手术时间、术后住院时间、术后宫腔引流量、术后血β-hCG恢复正常时间及月经恢复正常时间进行比较。 结果宫腔镜组术中出血量（109±59）ml，明显少于腹腔镜组（143±63）ml（t=-2.121，P=0.038）；手术时间（43.7±17.5）min，明显短于腹腔镜组（100.8±18.8）min（t=-11.974，P=0.000）；术后住院时间（3.8±0.7）d，明显短于腹腔镜组（4.5±0.6）d（t=-4.057，P=0.000）；月经恢复正常时间（43.8±3.9）d，明显短于腹腔镜组（45.9±3.8）d(t=-2.070，P=0.043)。2组术后子宫腔引流量分别为（22.1±2.8）ml和（23.6±3.2）ml，无统计学差异（t=-1.904，P=0062)。2组血β-hCG降至正常时间分别为（20.5±7.7）d和（22.9±9.3）d，无统计学差异（t=-1.075，P=0.287）。结论宫腔镜手术治疗内生型CSP出血少、住院时间短，恢复快。
Abstract:
ObjectiveTo evaluate the safety and feasibility of hysteroscopy in the treatment of endogenous type cesarean section scar pregnancy (CSP). MethodsClinical data of 58 cases of CSP from August 2012 to February 2014 in our hospital were analyzed retrospectively. Thirty-one cases were treated by hysteroscopy, while 27 cases were treated by laparoscopy. The intraoperative blood loss,operation time,postoperative hospital stay,postoperative drainage of uterine cavity,β-hCG level resolution time and time to menstruous restoration were compared between the two groups. ResultsThe intraoperative blood loss, operation time, length of hospitalization after operation, and time to menstruous restoration were statistically lower in the hysteroscopy group than those in the laparoscopy group ［(109±59) ml vs. (143±63) ml, t=-2.121, P=0.038; (43.7±17.5) min vs. (100.8±18.8) min, t=-11.974, P=0.000; (3.8±0.7) d vs. (4.5±0.6) d, t=-4.057, P=0.000; (43.8±3.9) d vs. (45.9±3.8) d, t=-2.070, P=0.043］. There were no significant differences in postoperative drainage of uterine cavity and β-hCG level resolution time between the two groups ［(22.1±2.8) ml vs. (23.6±3.2) ml, t=-1.904, P=0.062; (20.5±7.7) d vs. (22.9±9.3) d, t=-1.075, P=0.287］.ConclusionHysteroscopy has advantages of less intraoperative blood loss, shorter hospitalization time and quicker recovery in the treatment of endogenous type CSP.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：浙江省医药卫生科技项目（项目编号：2014KYB358）*通讯作者，E-mail:278365461@qq.com
更新日期/Last Update: 2016-02-03