Application of laparoscopic surgery in cesarean scar pregnancy
10.3760/cma.j.issn.1008-6706.2016.13.003
- VernacularTitle:腹腔镜手术在外生型剖宫产术后子宫瘢痕妊娠治疗中的应用
- Author:
Hui ZHANG
- Publication Type:Journal Article
- Keywords:
Laparoscopic;
Exogenous;
Cesarean Scar Pregnancy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(13):1928-1932
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical curative effect of hysteroscopy,laparoscopic operation for the treatment of cesarean scar pregnancy(CSP).Methods Selected and analyzed the clinical data of CSP patients,inclu-ding transvaginal uterine scar pregnancy lumpectomy patients,14 cases of patients (group A),abdominal uterine scar pregnancy lumpectomy,14 cases of patients (group B),laparoscopic surgery,20 cases of patients (group C).The intraoperative,postoperative,postoperative complications were compared in three groups.Results Three groups of patients were completed excision of the lesion,the operation time,flatus time,hospital stay of group A were the shortest,followed by group C (compared with group A,t =6.8,6.5,0.62),group B longest (compared with group A, t =7.2,14.9,6.2).In group B,1 case had blood transfusion;blood HCG had no difference in recovery time of three groups;the lowest average cost of hospitalization in group A,followed by group B (t =3.1),the highest was group C (t =0.72);group B postoperative complications a minimum of two cases (15.0%),followed by group A,group B up to seven cases (50.0%).Conclusion Laparoscopic excision of caesarean scar pregnancy can be suitable in the treatment of exogenous caesarean sear pregnancy which offers advantages.This management could repair the uterine seals,and Conserves the fertility potential.
