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目的探讨腹腔镜下切除剖宫产瘢痕处妊娠的有效性和安全性。方法回顾性分析2008年1月—2012年12月收治的21例剖宫产瘢痕妊娠患者的发病情况、临床诊断及其中13例进行腹腔镜下手术切除及修复的治疗效果及安全程度。结果通过剖宫产病史、妇科检查、阴道超声、核磁等辅助检查综合分析可作出诊断,13例剖宫产瘢痕妊娠患者行腹腔镜下瘢痕处妊娠切除及子宫修复手术,12例成功,均治愈出院,无严重并发症发生,住院时间平均(4.20±1.90)d,随访结果未发现异常。结论腹腔镜下切除剖宫产瘢痕处妊娠局部病灶治疗效果好、出血少、恢复快、住院时间短、安全程度高,且可保留生育功能。
Objective To investigate the effectiveness and safety of laparoscopic cesarean section scar pregnancy. Methods The clinical data of 21 patients with cesarean scar pregnancy admitted from January 2008 to December 2012 were analyzed retrospectively. The therapeutic effect and safety of 13 patients underwent laparoscopic resection and repair were retrospectively analyzed. Results Cesarean section history, gynecological examination, vaginal ultrasound, nuclear magnetic resonance imaging and other auxiliary examination can make a diagnosis, 13 cases of cesarean scar pregnancy underwent laparoscopic pregnancy and uterine scar removal surgery, 12 cases were successful, were cured Discharged, no serious complications occurred, the average hospital stay (4.20 ± 1.90) d, no abnormal findings were found. Conclusions Laparoscopic cesarean section scar treatment of local cesarean scar treatment effect, less bleeding, rapid recovery, shorter hospital stay, a high degree of safety, and can retain the reproductive function.