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目的:在临床中对剖宫产瘢痕部妊娠(CSP)患者行以超声诊断与宫腹腔镜治疗所具备的可行性进行分析。方法:回顾性分析本院2014年1月至2016年8月收治的82例CSP患者资料,其均接受超声诊断,根据患者入院时间分为对照组与研究组各41例,对照组行以常规手术治疗,研究组行以宫腹腔镜治疗,分析比较两组患者手术时间、术中出血量、住院时间及β-h CG指数恢复时间。结果:研究组患者手术时间与住院时间与对照组相比较短,术中出血量显著少于对照组,经计算差异具有统计学意义(即P<0.05)。结论:宫腹腔镜治疗在临床中可以有效缩短患者手术时间及住院时间,减少患者出血量,超声诊断准确率较高,具有较高临床可行性。
Objective: To analyze the feasibility of ultrasonic diagnosis and laparoscopic hysteroscopy in cesarean section scar pregnancy (CSP) in clinic. Methods: The data of 82 CSP patients admitted to our hospital from January 2014 to August 2016 were retrospectively analyzed. All patients underwent ultrasonic diagnosis. According to the time of admission, the patients were divided into control group and study group, 41 cases each. The control group received routine CTP Surgical treatment, the study group to hysteroscopy treatment, analysis of two groups of patients operating time, blood loss, length of stay and β-h CG index recovery time. Results: The operation time and hospital stay of the study group were shorter than those of the control group, and the amount of bleeding during operation was significantly less than that of the control group. The difference was statistically significant (P <0.05). Conclusion: Hysteroscopy in clinical treatment can effectively shorten the operation time and hospital stay, reduce the amount of bleeding in patients, the diagnostic accuracy of ultrasound is higher, with high clinical feasibility.