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目的观察与探讨阴式瘢痕妊娠病灶切除术治疗瘢痕妊娠的临床疗效。方法 60例经阴式瘢痕妊娠病灶切除术患者,对其临床资料进行回顾性分析,观察其临床效果。结果 60例患者进行阴式瘢痕妊娠病灶切除术后,57例患者治疗成功,3例患者治疗无效,因发生腹壁粘连转为开腹手术,治疗成功率为95%(57/60)。手术时间为36~62 min,术中出血量为50.0~95.3 ml,住院时间为4.0~9.2 d。结论在治疗瘢痕妊娠过程中,采用阴式瘢痕妊娠病灶切除术,其治疗效果显著,安全性相对较高,临床上具有重要的应用意义。
Objective To observe and discuss the clinical effect of excision of vaginal scar pregnancy in the treatment of scar pregnancy. Methods Sixty patients with vaginal scar pregnancy underwent resection and the clinical data were retrospectively analyzed to observe the clinical effect. Results After 60 cases of vaginal scar pregnancy were excised, 57 patients were successfully treated and 3 patients were ineffective. The success rate was 95% (57/60) due to abdominal adhesions converted to open surgery. The operation time ranged from 36 to 62 minutes, the intraoperative blood loss was 50.0 to 95.3 ml and the length of hospital stay was 4.0 to 9.2 days. Conclusion In the treatment of scar pregnancy, vaginal scar pregnancy with focal resection, the treatment effect is significant, the safety is relatively high, clinically important.