目的研究腹腔镜双侧子宫动脉阻断联合宫腔镜妊娠病灶清除治疗瘢痕妊娠的临床效果。方法选取66例剖宫产瘢痕妊娠患者,采用随机数字表法分为试验组与对照组各33例,对照组行常规治疗,试验组采取腹腔镜双侧子宫动脉阻断联合宫腔镜妊娠病灶清除术治疗。观察两组患者不良反应发生率、血HCG降低至5 IU/L及以下的时间、月经恢复时间等情况。结果试验组不良反应发生率、血HCG降低至5 IU/L及以下时间、月经恢复时间均明显低(少)于对照组;试验组有效率高于对照组,差异均有统计学意义(P<0.05)。结论腹腔镜双侧子宫动脉阻断联合宫腔镜妊娠病灶清除治疗剖宫产瘢痕妊娠的疗效显著,值得推广应用。
ObjectiveTo investigate the clinical efficacy of laparoscopic bilateral uterine artery occlusion combined with hysteroscopic pregnancy debridement for cesarean scar pregnancy. MethodsSixty-six patients with cesarean scar pregnancy were selected and were divided into experimental group and control group by random number table, with 33 cases in each group. The control group received routine treatment. The experimental group were treated with laparoscopic bilateral uterine artery occlusion combined with hysteroscopic pregnancy debridement. The incidence of adverse reactions, the duration for the reduction of blood HCG to 5 IU/L or less, and the duration for menstrual recovery were observed in both groups. ResultsThe incident rate of adverse reactions, the duration for the reduction of blood HCG to 5 IU/L or less, and the duration for menstrual recovery were lower or shorter in the experimental group compared to the control group (P<0.05). The effective rate of the experimental group was higher than that of the control group (P<0.05). ConclusionLaparoscopic bilateral uterine artery occlusion combined with hysteroscopic pregnancy debridement is effective for cesarean scar pregnancy, and is worthy of promotion and application.