垂体后叶素及缩宫素宫颈注射联合吸宫术+宫腔镜检查术在Ⅰ～Ⅱ型瘢痕妊娠中的应用

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Abstract Objective To explore the application effect of cervical injection of Pituitrin and Oxytocin combined with uterine aspiration + hysteroscopy in type Ⅰ-Ⅱscar pregnancy. Methods A total of 98 patients with type Ⅰ-Ⅱscar pregnancy who were admitted to our hospital from August 2018 to December 2019 were selected as research subjects.According to the random number table method,the patients were divided into observation group and control group,with 49 cases in each group.The control group was given removal of transvaginal scar pregnancy lesions under epidural anesthesia,and the study group was given cervical injection of Pituitrin and Oxytocin combined with uterine aspiration+ hysteroscopy.The intraoperative blood loss,surgery time,negative conversion time of blood human chorionic gonadotropin (HCG),length of hospital stay,hospitalization cost and complications were compared between the two groups. Results The intraoperative blood loss in the observation group was less than that in the control group,the surgery time and the negative conversion time of blood HCG were shorter than those in the control group,the differences were statistically significant (P<0.05).The length of hospital stay in the observation group was shorter than that in the control group,and the hospitalization cost was less than that in the control group,the differences were statistically significant (P<0.05).The total incidence rate of complications in the observation group was 4.08%,which was lower than 16.33% in the control group,and the difference was statistically significant (P<0.05).Conclusion Cervical injection of Pituitrin and Oxytocin combined with uterine aspiration + hysteroscopy in the treatment of type Ⅰ-Ⅱscar pregnancy has a significant effect,which can shorten the treatment time and reduce bleeding,and there is no surgical incision and fewer complications,which is worthy of clinical promotion and application.

Key words： Pituitrin Oxytocin Cervical injection Uterine aspiration Hysteroscopy Type Ⅰ-Ⅱscar pregnancy

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DENG Shu-lan. Application of cervical injection of Pituitrin and Oxytocin combined with uterine aspiration + hysteroscopy in type Ⅰ-Ⅱscar pregnancy[J]. 中国当代医药, 2020, 27(21): 106-108.

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https://dangdaiyiyao.com/EN/ OR https://dangdaiyiyao.com/EN/Y2020/V27/I21/106

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