论文部分内容阅读
目的探讨腹腔镜在剖宫产切口瘢痕妊娠中应用的优势及可行性。方法回顾性分析本院2012年1月~2014年1月收治的剖宫产切口瘢痕妊娠患者20例的临床资料,其中15例采用腹腔镜下剖宫产切口瘢痕妊娠病灶清除术和清宫术。结果①镜下见妊娠物凸向腹腔,子宫下段包块明显的行病灶清除加清宫术加子宫创面缝合术。手术时间40~80 min。术中出血200~400 ml。②镜下见子宫下段完整,无明显外凸包块,行清宫术,查找绒毛组织,观察阴道无活动性出血。手术时间10~20 min。出血20~30 ml。术后复查血HCG正常。结果结合血HCG及超声检查,剖宫产切口瘢痕妊娠选择腹腔镜下手术治疗,效果好,易被患者接受。
Objective To investigate the advantages and feasibility of laparoscopy in cesarean section scar pregnancy. Methods The clinical data of 20 patients with cesarean scar pregnancy treated in our hospital from January 2012 to January 2014 were retrospectively analyzed. Among them, 15 patients underwent laparoscopic cesarean scar scar removal and curettage. Results ① microscopic see pregnancy to the peritoneal cavity, the lower part of the uterine mass obvious removal of the line plus the curettage plus uterine wound suture. Surgery time 40 ~ 80 min. Intraoperative bleeding 200 ~ 400 ml. ② see the lower end of the uterus microscope, no obvious convex mass, line curettage, find villous tissue, no vaginal bleeding observed. Surgery time 10 ~ 20 min. Bleeding 20 ~ 30 ml. Postoperative blood HCG normal. Results combined with blood HCG and ultrasound examination, cesarean section scar pregnancy choice laparoscopic surgery, the effect is good, easy to be accepted by patients.