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目的探讨腹腔镜下子宫动脉阻断术及子宫瘢痕妊娠病灶切除术治疗外生型剖宫产瘢痕妊娠的临床疗效。方法外生型剖宫产瘢痕妊娠46例随机分为观察组和对照组各23例,观察组采用腹腔镜下子宫动脉阻断术+子宫病灶切除治疗,对照组采用子宫动脉栓塞术+腹腔镜下子宫病灶切除治疗。观察2组术中出血量、手术时间、住院时间及术后恢复情况,比较2组临床疗效。结果 2组手术过程均顺利,术中出血量、手术时间、血绒毛膜促性腺激素降至正常时间比较差异无统计学意义(P>0.05),观察组住院时间[(3.8±0.5)d]、月经恢复时间[(26.6±9.8)d]、术后并发症发生率(0)低于对照组[(14.2±0.4)d、(34.3±5.2)d、65.2%](P<0.05)。结论腹腔镜下子宫动脉阻断术及子宫瘢痕妊娠病灶切除术治疗外生型剖宫产瘢痕妊娠微创、安全、疗效确切。
Objective To investigate the clinical efficacy of laparoscopic uterine artery occlusion and excision of uterine scar pregnancy in the treatment of cesarean section scar pregnancy. Methods Exotic cesarean scar pregnancy 46 cases were randomly divided into observation group and control group of 23 cases, the observation group by laparoscopic uterine artery occlusion + resection of uterine lesions, the control group by uterine artery embolization + laparoscopy Under the uterine lesions resection treatment. Two groups of intraoperative blood loss, operation time, hospital stay and postoperative recovery were observed, and the clinical efficacy was compared between the two groups. Results The operation of the two groups was smooth, the blood loss, operative time, blood chorionic gonadotropin to normal time was no significant difference (P> 0.05), the length of stay [(3.8 ± 0.5) d] (26.6 ± 9.8) d, and the incidence of postoperative complications (0) was lower than that of the control group [(14.2 ± 0.4) d, (34.3 ± 5.2) d, 65.2%, P <0.05]. Conclusions Laparoscopic uterine artery occlusion and excision of uterine scar pregnancy in the treatment of exogenous caesarean section scar pregnancy minimally invasive, safe and effective.