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目的探讨B超引导下吸宫和选择性宫腔水囊压迫治疗剖宫产瘢痕妊娠的临床价值。方法选取行B超引导吸宫治疗的60例剖宫产瘢痕妊娠患者,设为A组,另选同期行B超引导吸宫与选择性宫腔水囊压迫联合治疗的60例设为B组,对比两组的临床效果。结果两组术中出血总量、手术时间比较无统计学意义(P>0.05);治疗后A组术后24 h出血量均明显多于B组,两组比较差异有统计学意义(P<0.05);B组止血有效时间与术后住院时间、血β-HCG恢复正的时间均优于A组,两组比较差异有统计学意义(P<0.05);A组并发症发生率13.33%;B组无并发症发生,两组比较差异有统计学意义(P<0.05)。结论剖宫产瘢痕妊娠采取B超引导下吸宫与水囊压迫联合治疗,临床价值高,值得推广使用。
Objective To investigate the clinical value of ultrasound-guided suction and selective intrauterine compression in treating cesarean scar pregnancy. Methods Sixty cases of cesarean scar pregnancy treated with B-guided suction-assisted abortion were enrolled in group A. The other 60 cases were treated with B-guided suction and selective intrauterine compression in combination with B-group , Comparing the clinical effect of two groups. Results The total amount of bleeding and operation time were no significant difference between the two groups (P> 0.05). After operation, the amount of hemorrhage in group A at 24 h after operation was significantly more than that at group B, with significant difference between the two groups (P < 0.05). The effective time of hemostasis, postoperative hospital stay and blood β-HCG recovery time in group B were better than that in group A, the difference was statistically significant (P <0.05); the incidence of complications in group A was 13.33% There was no complication in group B, the difference between the two groups was statistically significant (P <0.05). Conclusion Cesarean scar pregnancy using B-guided suction and water sac compression combined treatment, high clinical value, it is worth promoting the use of.