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目的:观察比较宫腔镜手术与阴式手术治疗子宫瘢痕妊娠(CSP)的效果。方法:选择CSP 68例,根据治疗方法分为宫腔镜CSP病灶切除术组(A组)38例和阴式CSP病灶切除术组(B组)30例。比较两组手术时间、术中出血量、手术成功率、住院时间、住院费用及β人绒毛膜促性腺激素(β-HCG)转阴时间等指标。结果:B组手术成功29例,占96.7%;A组为30例,占79.0%;两组比较,差异显著(P<0.05)。B组手术时间、β-HCG转阴时间,显著短于A组(P<0.05);住院时间、术中出血量及住院费用,非常显著短于或少于A组(P<0.01)。结论:阴式手术治疗CSP的效果显著优于宫腔镜手术,且手术时间短、术后恢复快。
Objective: To compare the effect of hysteroscopic surgery and vaginal surgery in the treatment of uterine scar pregnancy (CSP). Methods: CSP was selected in 68 cases. According to the treatment, 38 cases were treated by hysteroscopic CSP resection (group A) and 30 cases by vaginal CSP resection (group B). The operation time, intraoperative blood loss, operation success rate, hospitalization time, hospitalization cost and β-HCG time were compared between the two groups. Results: The operation of group B was successful in 29 cases, accounting for 96.7%. Group A was 30 cases, accounting for 79.0%. There was significant difference between the two groups (P <0.05). The time of operation and the time of β-HCG negative conversion in group B were significantly shorter than those in group A (P <0.05). The length of hospital stay, intraoperative blood loss and hospitalization were significantly shorter or shorter than those in group A (P <0.01). Conclusion: The effect of vaginal surgery on CSP is significantly better than hysteroscopy, and the operation time is short and the postoperative recovery is quick.