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目的观察阴式手术治疗剖宫产瘢痕妊娠的临床效果。方法 2008年4月-2014年10月收治早期剖宫产瘢痕妊娠的患者30例,依治疗方式不同分为药物治疗组6例、子宫动脉栓塞术组10例、阴式手术治疗14例组,比较治疗后的临床效果。结果阴式手术组治愈14例,药物治疗组治愈5例;阴式手术组手术时间、h CG降至正常时间、月经复潮时间、住院时间均短于子宫动脉栓塞术组,且出血量、住院费少于子宫动脉栓塞术组,差异均有统计学意义(P<0.05)。结论阴式手术治疗早期剖宫产瘢痕妊娠具有微创、手术时间短、见效快、安全、费用低等优点,应该在临床上推广使用。
Objective To observe the clinical effect of vaginal surgery in cesarean scar pregnancy. Methods From April 2008 to October 2014, 30 cases of early cesarean scar pregnancy were divided into 6 groups: drug treatment group (10 cases), vaginal surgery group (14 cases) Compare the clinical results after treatment. Results In the vaginal surgery group, 14 cases were cured and in the drug treatment group, 5 cases were cured. In the vaginal surgery group, the operation time, h CG decreased to normal time, menstruation recuperation time and hospitalization time were shorter than uterine arterial embolization group, Hospitalization less than uterine artery embolization group, the difference was statistically significant (P <0.05). Conclusion Negative surgical treatment of early cesarean scar pregnancy with minimally invasive, short operative time, quick, safe, low cost, should be widely used in clinical practice.