[1]朱洁云**,黄敏,陈翠茹①.经阴道剖宫产瘢痕妊娠病灶切除术30例临床分析[J].中国微创外科杂志,2017,17(07):668-669.
　Zhu Jieyun*,Huang Min*,Chen Cuiru..Transvaginal Surgery for Cesarean Scar Pregnancy: Clinical Analysis of 30 Cases[J].Chinese Journal of Minimally Invasive Surgery,2017,17(07):668-669.
点击复制

经阴道剖宫产瘢痕妊娠病灶切除术30例临床分析()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年07期
页码:
668-669
栏目:
文献综述
出版日期:
2017-07-20

文章信息/Info

Title:
Transvaginal Surgery for Cesarean Scar Pregnancy: Clinical Analysis of 30 Cases
作者:
朱洁云**; 黄敏; 陈翠茹①
广东省兴宁市妇幼保健院妇科，兴宁514500
Author(s):
Zhu Jieyun*;  Huang Min*;  Chen Cuiru.
*Department of Genecology, Xingning Maternity and Infant Hospital, Xingning 514500, China
关键词:
经阴道手术; 剖宫产瘢痕妊娠; 切除术
Keywords:
Transvaginal surgery; Cesarean scar pregnancy; Resection
文献标志码:
B
摘要:
目的探讨经阴道剖宫产瘢痕妊娠(cesarean scar pregnancy，CSP)病灶切除术的临床效果及安全性。方法2013年1月~2016年1月，对30例CSP行经阴道病灶切除术，随访观察临床效果及安全性。结果1例中转开放手术，其余手术均顺利完成，手术时间30~120 min，（53.4±26.0）min，术中出血量<50 ml，住院3~7 d，（4.3±1.3）d，血β-hCG降至正常时间14~36 d，（24.1±13.2）d，无持续妊娠，未出现切口愈合不良、感染、膀胱损伤等手术并发症。结论经阴道CSP病灶切除术的临床效果好，并发症少，值得基层医院推广应用。
Abstract:
ObjectiveTo evaluate the clinical effect and safety of transvaginal lesion resection for cesarean scar pregnancy (CSP).MethodsA total of 30 patients with CSP in our hospital received the transvaginal CSP lesion resection from January 2013 to January 2016 and were followed-up to observe the clinical efficacy and safety.ResultsThe operations were successfully completed except one case of conversion to open surgery. The operation time was 30-120 min (53.4±26.0 min), the intraoperative hemorrhage was less than 50 ml, the hospital time was 3-7 d (4.3±1.3 d), and the postoperative time of serum β-hCG decreased to normal value was 14-36 d (24.1±13.2 d). No continuous pregnancy or complications such as incision non-healing, infection, or bladder injury after operation. ConclusionThe clinical effect of vaginal CSP lesion resection is good and has fewer complications, being worthy of application.

参考文献/References:

[1]单莉莉，乐爱文，肖天慧．经阴道子宫下段切开取胚与子宫动脉栓塞术治疗剖宫产瘢痕妊娠的比较性研究．中国微创外科杂志，2013，13（7）：611-613．
[2]Rotas MA,Haberman S,Levgur M.Cesarean scar ectopic pregnancies:etiology,diagnosis and management.Obstet Gynecol,2006,107(6):1373-1381.
[3]黄丽萍，梁叆琳，刘辉.剖宫产术后子宫疤痕妊娠的诊治进展．中华妇幼临床医学杂志(电子版)，2010，6(2)：139-141.
[4]陆再英，钟南山．内科学．第7版．北京:人民卫生出版社，2008.284-279．
[5]范晓东，朱颖军．经阴道剖宫产术后子宫瘢痕妊娠病灶切除病例研究．国际妇产科学杂志，2014，41(4):438-440．
[6]肖水秀,单莉莉,乐爱文,等.经阴道手术治疗剖宫产瘢痕妊娠失败的经验分析.中国微创外科杂志，2016，16(5)：432-435．

备注/Memo

备注/Memo:
基金项目：广东省梅州市科技计划项目（编号：梅市科［2015］30号-2015B108）**通讯作者，E-mail：zhjiyu263@163.com①超声科
更新日期/Last Update: 2017-09-21