腹腔镜病灶剔除术联合修补术治疗停经＜7周Ⅱ～Ⅲ型剖宫产术后子宫瘢痕妊娠的临床效果

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Abstract [Abstract]Objective To investigate the clinical effect of laparoscopic resection and repair in the treatment of cesarean car pregnancy（CSP）after Ⅱ-Ⅲcesarean section with menopause ＜7 weeks.Methods Sixty-three patients with CSP after type Ⅱ-Ⅲcesarean section who were admitted to our hospital from April 2017 to February 2019 were enrolled in the study.They were divided into observation groups（31 cases）and the control group（32 cases）according to different treatment methods.The observation group was treated with laparoscopic lesion removal and repair，and the control group was treated with hysteroscopic lesion removal.The hospital stay，time of normal menstruation after operation，the success rate of surgery，the satisfaction rate of surgical treatment，and the total incidence of surgical complications were compared between two groups.Results The hospital stays and time of normal menstruation after operation in the observation group were shorter than those in the control group，the differences were statistically significant（P＜0.05）.The total success rate of the observation group was higher than that of the control group，the difference was statistically significant（P＜0.05）.The total satisfaction of surgical treatment was higher than that of the control group，and the difference was statistically significant（P＜0.05）.The total incidence of surgical complications in the observation group was lower than that of the control group，and the difference was statistically significant（P＜0.05）.Conclusion Laparoscopic lesion removal and repair is safer than hysteroscopy in the treatment of CSP after cesarean section of type Ⅱ-Ⅲwhose menopausal time is less than 7 weeks.The success rate of operation is higher，which can promote the recovery after operation，shorten the hospitalization time and promote the recovery of normal menstruation after operation.It has important therapeutic value.

Key words： Menopause for 7 weeks TypeⅡ Type Ⅲ Cesarean section Cesarean scar pregnancy Safety

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