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目的通过对本院诊治的外生型剖宫产子宫瘢痕妊娠(CSP)结果分析,探讨治疗方案的合理选择。方法 35例外生型CSP的临床资料,按治疗方法分为行开腹病灶切除与子宫修补术的16例为开腹组,行腹腔镜下病灶切除与子宫修补术的19例为腔镜组。结果经腹腔镜手术的术中出血量(190±30)ml,手术时间(65±21)min,术后住院时间(4.7±0.9)d等均显著性少于开腹组术中出血量(240±25)ml、手术时间(82±13)min、术后住院时间(6.7±1.3)d,差异有统计学意义(P<0.05)。术后血T-HCG降至正常的时间两组差异无统计学意义(P>0.05)。结论腹腔镜手术治疗CSP是十分安全有效的,值得推广。
Objective To analyze the results of cesarean scar pregnancy (CSP) in our hospital for treatment of exogenous caesarean section and to explore the reasonable choice of treatment regimen. Methods The clinical data of 35 cases of exogenous CSP were divided into open group and open group according to the method of treatment. Twenty-nine patients underwent laparoscopic resection and uterine repair were treated by laparoscopy. Results The amount of intraoperative blood loss (190 ± 30) ml, operation time (65 ± 21) min, postoperative hospital stay (4.7 ± 0.9) d and so on after laparoscopic operation were significantly lower than those in open group 240 ± 25) ml, operation time (82 ± 13) min, postoperative hospital stay (6.7 ± 1.3) d, the difference was statistically significant (P <0.05). There was no significant difference between the two groups when the blood T-HCG decreased to normal (P> 0.05). Conclusion Laparoscopic surgery is very safe and effective CSP, it is worth promoting.