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目的探讨腹腔镜辅助清宫术诊治剖宫产术后Ⅰ型早期子宫瘢痕妊娠的临床应用价值。方法 31例剖宫产术后早期子宫瘢痕妊娠患者,术前均B超诊断为瘢痕妊娠Ⅰ型。将其随机分为研究组(21例)和对照组(10例)。研究组采用腹腔镜辅助吸宫术;对照组采用传统负压吸宫术。比较两组治疗效果。结果研究组术中出血量为(64.3±17.7)ml、血人绒毛膜促性腺激素(HCG)降为正常时间为(5.2±1.4)周、月经恢复时间为(5.2±3.7)周,均明显优于对照组的(80.4±13.5)ml、(7.8±2.1)周、(8.5±2.9)周(P<0.05)。结论腹腔镜辅助清宫术用于临床Ⅰ型早期子宫瘢痕妊娠的诊治,更易准确诊断、分型,指导治疗方案的选择,降低手术操作难度及治疗难度,减少并发症发生。
Objective To investigate the clinical value of laparoscopic assisted curettage in the diagnosis and treatment of type Ⅰ early uterine scar pregnancy after cesarean section. Methods 31 patients with early stage uterine scar pregnancy after cesarean section were diagnosed as type Ⅰ of scar pregnancy by preoperative ultrasonography. They were randomly divided into study group (21 cases) and control group (10 cases). The study group laparoscopic assisted suction; the control group using the traditional vacuum aspiration. Compare the treatment effect of two groups. Results The blood loss in the study group was (64.3 ± 17.7) ml, the duration of HCG decreased to (5.2 ± 1.4) weeks, and the period of menstruation recovery was (5.2 ± 3.7) weeks, both of which were significantly (80.4 ± 13.5) ml, (7.8 ± 2.1) weeks and (8.5 ± 2.9) weeks (P <0.05) in the control group. Conclusions Laparoscopic assisted esophagectomy is an effective method for the diagnosis and treatment of clinical type Ⅰ early uterine scar pregnancy. It is easier to diagnose and classify and guide the selection of treatment options. It can reduce the difficulty of operation and treatment and reduce the incidence of complications.