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目的探讨腹腔镜下子宫加压缝合术在子宫切口妊娠(CSP)中的应用价值。方法 2013年9月-2014年12月纳入85例诊断为CSP的患者随机分成对照组(43例)和研究组(42例),对照组采用常规腹腔镜辅助下吸宫术,研究组采用常规腹腔镜辅助下吸宫术联合子宫加压缝合术,比较两组疗效差异。结果对照组和研究组的手术时间分别(36.6±17.7)、(45.6±14.8)min,术中术后出血量(207.9±165.8)、(96.1±29.0)m L,两组间比较差异有统计学意义(P<0.05)。肛门排气时间、住院时间、血β-人绒毛膜促性腺激素转阴时间、月经恢复时间等指标组间比较差异无统计学意义(P>0.05);两组术后体温差异有统计学意义(P<0.05),但无临床意义。结论腹腔镜下子宫加压缝合术是减少CSP出血的安全可靠方法,且简单易行,值得临床推广。
Objective To investigate the value of laparoscopic uterine compression suture in pregnancy of uterine incision (CSP). Methods From September 2013 to December 2014, 85 patients with CSP were randomly divided into control group (43 cases) and study group (42 cases). The control group received routine laparoscopic assisted suction aspiration. The study group was treated with routine Laparoscopic assisted suction combined with uterine suture compression surgery, the difference between the two groups were compared. Results The operation time of the control group and the study group were (36.6 ± 17.7), (45.6 ± 14.8) min, postoperative blood loss (207.9 ± 165.8) and (96.1 ± 29.0) m L, respectively Significance (P <0.05). Anal exhaust time, hospital stay, blood β-human chorionic gonadotropin-negative time, menstrual recovery time and other indicators were no significant difference between the two groups (P> 0.05); postoperative body temperature difference was statistically significant (P <0.05), but no clinical significance. Conclusions Laparoscopic uterine compression suture is a safe and reliable method to reduce CSP bleeding, and it is simple and feasible and worthy of clinical promotion.