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目的:探讨剖宫产瘢痕部位妊娠(CSP)的四种治疗方法的临床价值。方法:选取2010年7月-2014年3月我院收治的CSP患者30例进行分组研究,按照不同治疗方法分为A组(n=8,采用药物保守治疗),B组(n=7,采用双侧子宫动脉栓塞后清宫术),C组(n=10,采用腹腔镜手术),D组(n=5采用直接清宫术),比较四组治疗效果。结果:四组出血量、住院时间以及血β-HCG恢复时间、月经恢复时间、包块消失时间进行比较,差异具有统计学意义(P<0.05)。结论:药物保守治疗、双侧子宫动脉栓塞后清宫术、直接清宫术、剖腹或经阴式手术病灶清除术治疗CSP各有优势和缺陷,临床应权衡利弊慎重选择,以提高治疗效果,促进患者快速康复。
Objective: To investigate the clinical value of four kinds of treatment for Cesarean scar pregnancy. Methods: Thirty patients with CSP admitted to our hospital from July 2010 to March 2014 were divided into group A (n = 8, conservative treatment with drugs), group B (n = 7, The patients in group C (n = 10, laparoscopic surgery) and group D (n = 5 in direct radical hysteroscopy) were enrolled in this study. The curative effect was compared between the four groups. Results: The bleeding volume, length of hospital stay, recovery time of blood β-HCG, menstruation recovery time and disappearance of mass in four groups were statistically significant (P <0.05). CONCLUSION: CSP has its own advantages and disadvantages in conservative treatment, bilateral uterine artery embolization after curettage, direct radical mastectomy, laparotomy or vaginal surgery. CSP should weigh the advantages and disadvantages carefully to improve the therapeutic effect and promote the patients Quick recovery.