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目的观察腹腔镜在治疗剖宫产后子宫瘢痕妊娠(CSP)中的应用效果。方法采用随机方法将2013年1月到2015年1月我院收治的71例CSP患者进行分组,观察组应用腹腔镜治疗,对照组进行开腹手术,对比2组治疗效果。结果观察组患者手术时间、术中出血、血清β-HCG恢复时间、住院时间指标显著优于对照组,观察组不良反应发生率为13.9%(5/36),对照组为51.4%(18/35),差异具有统计学意义(P<0.05)。结论腹腔镜在治疗CSP中可有效的缩短手术耗时,降低术中出血、不良反应发生率、缩短住院时间,值得推广应用。
Objective To observe the effect of laparoscopy in the treatment of uterine scar pregnancy (CSP) after cesarean section. Methods A total of 71 CSP patients admitted to our hospital from January 2013 to January 2015 were randomly divided into two groups. The patients in the observation group were treated by laparoscopy and the control group were treated by laparotomy. The therapeutic effect was compared between the two groups. Results The operation time, intraoperative blood loss, serum β-HCG recovery time and hospitalization time in the observation group were significantly better than those in the control group. The incidence of adverse reactions in the observation group was 13.9% (5/36) in the observation group and 51.4% (18/45) in the control group 35), the difference was statistically significant (P <0.05). Conclusion Laparoscopy in the treatment of CSP can effectively shorten the operation time, reduce the incidence of intraoperative bleeding, adverse reactions, shorten the length of stay, it is worth promoting the application.