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目的:探讨剖宫产术后子宫瘢痕处妊娠刮宫术前应用水囊压迫法的临床效果。方法:回顾性分析杭州市萧山区第三人民医院2013年1月-2016年1月40例剖宫产术后子宫瘢痕处妊娠刮宫术患者临床资料,其中于刮宫术前采用50mg/次甲氨喋呤注射液肌肉注射、米非司酮25mg/次、抗感染者为对照组(20例);于对照组基础上采用水囊压迫法者为观察组(20例)。统计两组术中、术后24h出血量、术后住院时间,并统计两组术后并发症发生情况,记录两组术后血β-人绒毛膜促性腺激素(β-HCG)恢复至正常时间。结果:观察组术中出血量和术后24h出血量及β-HCG下降至正常时间分别为(41.8±6.4)ml、(31.2±8.1)ml、(20.9±3.6)d明显少于对照组(98.7±11.5)ml、(69.7±4.8)ml、(41.7±6.2)d,P<0.05;观察组术后住院时间为(12.9±3.2)d明显短于对照组(18.6±4.7)d,P<0.05。观察组术后并发症率明显低于对照组,P<0.05。结论:剖宫产术后子宫瘢痕处妊娠刮宫术前应用水囊压迫法可有助于减少出血量及并发症发生,促进其术后康复。
Objective: To investigate the clinical effect of hydrocephalus compression before pregnancy curettage in cesarean section. Methods: The clinical data of 40 cases of pregnancy curettage after uterine cesarean section from January 2013 to January 2016 in Hangzhou Xiaoshan Third People’s Hospital were retrospectively analyzed. Among them, 50 mg / Injection of methotrexate intramuscularly, mifepristone 25mg / times, anti-infectives as the control group (20 cases); on the basis of the control group using water sac compression method for the observation group (20 cases). The intraoperative blood loss, postoperative 24h blood loss and postoperative hospital stay were calculated. The incidence of postoperative complications was calculated. The postoperative β-HCG was recovered to normal time. Results: The intraoperative blood loss and postoperative 24h blood loss and β-HCG decreased to normal (41.8 ± 6.4) ml, (31.2 ± 8.1) ml and (20.9 ± 3.6) d, respectively, which were significantly lower than those in the control group 98.7 ± 11.5) ml, (69.7 ± 4.8) ml, (41.7 ± 6.2) d, P <0.05 respectively. The length of postoperative hospital stay in the observation group was significantly shorter than that in the control group (12.9 ± 3.2) days <0.05. Postoperative complications in the observation group were significantly lower than those in the control group (P <0.05). Conclusion: Cesarean section after uterine cesarean section curettage curettage applied water sac compression method can help reduce the amount of bleeding and complications, and promote their postoperative recovery.