论文部分内容阅读
目的:探究剖宫产瘢痕妊娠经不同手术治疗后人绒毛膜促性腺激素变化。方法:选取110例经由不同手术治疗的剖宫产瘢痕妊娠患者,对不同手术治疗后的临床疗效与血β-hCG下降趋势进行分析。结果:不同手术组术后48小时、术后1周及术后两周血β-hCG均下降,患者出血量、住院时间及血β-hGG下降百分比具有统计学意义(P<0.05)。结论:剖宫产瘢痕妊娠患者术后3周血β-hCG下降到正常;手术方式选择应该根据胚囊着床瘢痕程度、局部血流情况、胎囊大小、胎囊与子宫浆膜层最薄肌层厚度、膀胱及生育要求等合理选择。
Objective: To investigate the change of human chorionic gonadotropin after different surgical treatment of cesarean scar pregnancy. Methods: One hundred and ten patients undergoing cesarean scar pregnancy under different surgical treatment were selected. The clinical curative effect and the declining trend of blood β-hCG after operation were analyzed. Results: The levels of β-hCG decreased 48 hours postoperatively, 1 week postoperatively and two weeks postoperatively. The percentages of bleeding, length of hospital stay and β-hGG decreased significantly in different operation groups (P <0.05). CONCLUSIONS: The blood β-hCG in normal pregnant women with cesarean scar pregnancy decreased to normal after 3 weeks of operation. The choice of surgical method should be based on the degree of scar in embryo sac implantation, local blood flow, fetal capsule size, the thinnest of fetal capsule and uterine serosa Muscle thickness, bladder and reproductive requirements such as a reasonable choice.