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| Observation of effect of laparoscopic surgery in the treatment of pregnancy at the uterine scar after cesarean section |
| XU Guang-hui |
| Department of Gynecology and Obstetrics,Shenyang Jishuitan Hospital,Liaoning Province,Shenyang 110020,China |
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Abstract Objective To study the effect of laparoscopic surgery in the treatment of pregnancy at the uterine scar after cesarean section.Methods A retrospective analysis was made of the clinical data of 100 cases of uterine scar pregnancy after cesarean section in our hospital from January 2015 to January 2016.According to the different treatment methods,the patients were divided into control group and research group,50 cases in each group.The control group was treated with medication,while the research group was treated with laparoscopic surgery.The total effective rate of treatment,operation time,intraoperative bleeding volume,hospitalization time,uterine recovery time and blood human chorionic gonadotropin(β-HCG)decrease to normal time were compared between the two groups.Results The total effective rate of treatment in the research group was significantly higher than that in the control group,and the difference was statistically significant(P＜0.05).The operation time,intraoperative bleeding volume,hospitalization time,uterine recovery time and blood β-HCG decrease to normal time in the research group were significantly shorter than those in the control group,intraoperative bleeding volume was significantly less than that in the control group,and the differences were statistically significant(P＜0.05).Conclusion Laparoscopic surgery is effective for pregnant women with uterine scar after cesarean section.It can effectively shorten the operation time,hospitalization time,uterus return to normal time,blood β-HCG decrease to normal time and reduce the amount of intraoperative bleeding.It should be widely used in the clinic.
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| [1] |
栾奡.腹腔镜手术治疗剖宫产术后子宫瘢痕部位妊娠[J].中国医药指南，2016，14（31）：149-150.
|
| [2] |
漆柳青，林建寨，陈景钗，等.剖宫产术后子宫瘢痕妊娠的阴道彩色多普勒超声诊断及临床治疗[J].中国当代医药，2017，24（1）：125-128.
|
| [3] |
孙绍敏.腹腔镜手术治疗剖宫产术后子宫瘢痕部位妊娠临床分析[J].中国实用医药，2017，12（8）：72-74.
|
| [4] |
Tymon-Rosario J，Chuang M.Selective reduction of a heterotopic cesarean scar pregnancy complicated by septic abortion[J].Case Rep Obstet Gynecol，2018，2018：6 478 589.
|
| [5] |
莫金凤.腹腔镜手术治疗剖宫产术后Ⅱ型子宫瘢痕妊娠分析[J].实用中西医结合临床，2017，17（5）：84-85.
|
| [6] |
Au HK，Liu CF，Tzeng CR，et al.Association between ultrasonographic parameters of Cesarean scar defect and outcome of early termination of pregnancy[J].Ultrasound Obstet Gynecol，2016，47（4）：506-510.
|
| [7] |
Yu H，Luo H，Zhao F，et al.Successful selective reduction of a heterotopic cesarean scar pregnancy in the second trimester：a case report and review of the literature[J].BMC Pregnancy Childbirth，2016，16（1）：380.
|
| [8] |
陈美琼，黄丽梅，汪新妮，等.不同手术方式治疗外生型剖宫产瘢痕部位妊娠的效果观察[J].中国当代医药，2016，23（17）：84-86.
|
| [9] |
曾欢英.腹腔镜手术治疗剖宫产术后子宫瘢痕部位妊娠疗效分析[J].中国实用医药，2018，13（7）：19-21.
|
| [10] |
李宗婷，李萍.腹腔镜手术治疗剖宫产术后子宫瘢痕妊娠 8 例临床分析[J].齐齐哈尔医学院学报，2013，34（19）：2864-2865.
|
| [11] |
付丽萍，汤丽荣.剖宫产切口瘢痕部位妊娠临床治疗探讨[J].医学研究杂志，2015，44（6）：104-106，115.
|
| [12] |
李强，王雯雯，肖镇冬等.瘢痕妊娠的腹腔镜手术治疗[J].中国生育健康杂志，2016，27（3）：246-248.
|
| [13] |
宋永红.剖宫产瘢痕妊娠术中大出血预测列线图模型建立[D].重庆：第三军医大学，2016.
|
| [14] |
Lu Q，Dong CS，Yu JM，et al.The dose response of sufentanil as an adjuvant to ropivacaine in cesarean section for relief from somato-visceral pain under epidural anesthesia in parturients with scarred uterus[J].Medicine（Baltimore），2018，97（38）：e12 404.
|
| [15] |
Baradwan S，Khan F，Al-Jaroudi D.Successful management of a spontaneous viable monochorionic diamniotic twin pregnancy on cesarean scar with systemic methotrexate：a case report[J].Medicine（Baltimore），2018，97（37）：e12 343.
|
|
|
|
