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目的探讨腹腔镜技术治疗剖宫产瘢痕妊娠(CSP)的价值。方法回顾性分析2009年6月至2011年6月在南方医科大学附属南海人民医院住院治疗的14例剖宫产瘢痕妊娠患者,其中6例患者因血β-人绒毛膜促性腺激素较高,平均24 271.5 U/L,阴道彩超提示:子宫增大,剖宫产切口部位见孕囊或不均质中低回声包块,长径3.3~4.8 cm,平均4.1 cm,包块周围有丰富血流信号,均突向浆膜层。6例患者均采用腹腔镜下子宫瘢痕部位病灶切除术+子宫修补术治疗。结果 6例均顺利完成手术,出血少,避免子宫切除术,达到微创、有效、恢复快的治疗效果。结论 CSP行腹腔镜下局部病灶切除+子宫修补术不仅可以有效终止妊娠,同时可以修补瘢痕缺陷、修复子宫,保留生育功能,是一种有价值的方法。
Objective To investigate the value of laparoscopy in the treatment of cesarean scar pregnancy (CSP). Methods A retrospective analysis of 14 cesarean scar pregnancy patients admitted to Nanhai People’s Hospital Affiliated to Southern Medical University from June 2009 to June 2011 was retrospectively analyzed. Among them, 6 patients had higher serum β-human chorionic gonadotropin, An average of 24 271.5 U / L, vaginal ultrasound Tip: uterine enlargement, cesarean section see pregnancy gestational sac or hypoechoic mass, long diameter 3.3 ~ 4.8 cm, an average of 4.1 cm, mass of blood around the mass Flow signal, are protruding to the serosa layer. All 6 patients underwent laparoscopic uterine scar site resection and uterine repair. Results 6 cases were successfully completed the operation, less bleeding, to avoid hysterectomy, to achieve minimally invasive, effective and rapid recovery of the treatment. Conclusion CSP laparoscopic local lesion resection + uterine repair not only can effectively terminate the pregnancy, and can repair scar defects, repair the uterus, reproductive function is retained, is a valuable method.