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目的探讨宫腔镜下负压吸宫术在内生型剖宫产瘢痕妊娠(Cesarean section scar pregnancy,CSP)治疗中的应用。方法收集宫腔镜下负压吸宫术治疗的内生型CSP患者20例为研究组,药物治疗后吸宫的内生型CSP患者15例为对照组,就一系列临床观察指标进行分析。结果研究组血β-HCG降至正常的时间、术中出血量、阴道出血天数、继发阴道大出血的例数、住院天数较对照组少,差异有统计学意义(P<0.05)。住院费用较对照组高,差异有统计学意义(P<0.05)。结论对内生型的CSP患者,经术前的认真评估,宫腔镜下负压吸宫术是安全可行的。
Objective To investigate the application of hysteroscopic vacuum suction aspiration in the treatment of endometrial cesarean section scar pregnancy (CSP). Methods Totally 20 cases of endogenous CSP patients underwent hysteroscopic suction aspiration therapy were enrolled in the study group. Fifteen patients with endogenous CSP after drug treatment were selected as the control group, and a series of clinical observation indexes were analyzed. Results The study group of blood β-HCG reduced to normal time, intraoperative blood loss, vaginal bleeding days, secondary vaginal bleeding cases, hospitalization days than the control group, the difference was statistically significant (P <0.05). Hospitalization costs higher than the control group, the difference was statistically significant (P <0.05). Conclusions For endogenous CSP patients, preoperative careful assessment of hysteroscopic vacuum aspiration is safe and feasible.