| 阴式子宫切口疤痕妊娠病灶清除术治疗剖宫产切口疤痕妊娠 |
| |
| 引用本文： | 张祖威,常亚杰,陈玉清.阴式子宫切口疤痕妊娠病灶清除术治疗剖宫产切口疤痕妊娠[J].中山大学学报(医学科学版),2011,32(5):689-693. |
| |
| 作者姓名： | 张祖威 常亚杰 陈玉清 |
| |
| 作者单位： | 中山大学附属第一医院妇科, 广东 广州 510080 |
| |
| 摘 要： | 【目的】 探讨一种新的手术方案——阴式子宫切口疤痕妊娠病灶清除术在治疗剖宫产切口疤痕妊娠(CSP)的可行性及价值。【方法】 回顾性分析2009年12月至2011年3月我院共收治的剖宫产术后子宫切口疤痕部位妊娠10例患者,均行阴式子宫切口疤痕妊娠病灶清除术。【结果】 10例均手术成功,无明显并发症、平均手术时间:59.5(S=18.5)min;平均术中出血量:79.5(S=53.2) mL;平均住院时间:9.5(S=3.1) d。平均术后血β-HCG恢复正常时间14.9(S = 8.7) d;10例术后2周内复查B超均提示子宫前壁下段剖宫产疤痕部位包块消失;术后正常月经来潮时间平均28.7(S = 5.1) d,10例患者术后均无出现月经淋漓、月经量改变等异常情况。【结论】 微创的阴式子宫切口疤痕妊娠病灶清除术做为一种新的CSP手术治疗方案,具有一次性清除病灶、手术时间短、损伤小、术中出血少、术后血β-HCG下降快、术后月经恢复快等优点。手术操作微创、简单,并发症少,是CSP治疗的一种可行性且有价值的治疗方法,值得临床推广。
|
| 关 键 词： | 子宫切口疤痕妊娠 阴式手术 病灶清除 |
| 收稿时间： | 2011-05-25; |
Transvaginal Cesarean Scar Pregnancy Debridement Surgery: A New Approach in Treatment of Cesarean Scar Pregnancy |
| |
| ZHANG Zu-wei,CHANG Ya-jie,CHEN Yu-qing.Transvaginal Cesarean Scar Pregnancy Debridement Surgery: A New Approach in Treatment of Cesarean Scar Pregnancy[J].Journal of Sun Yatsen University(Medical Sciences),2011,32(5):689-693. |
| |
| Authors: | ZHANG Zu-wei CHANG Ya-jie CHEN Yu-qing |
| |
| Affiliation: | Department of Gynecology and Obstetrics, The First Affiliated Hospital, Sun Yat- sen University, Guangzhou 510080, China |
| |
| Abstract: | 【Objective】 To introduce a new surgical approach: debridement surgery by the vaginal incision in the treatment of cesarean scar pregnancy (CSP). 【Methods】 A retrospective analysis of 10 patients who were treated by transvaginal cesarean scar pregnancy debridement surgery from December 2009 to March 2011. 【Results】 Ten patients were successfully treated with shorter operative time, less damage, less bleeding, decreased postoperative blood HCG, and faster postoperative recovery period. Mean operation time: 59.5 (S = 18.5) min; Mean blood bleeding during operation: 79.5 (S = 53.2) mL; Mean admission time: 9.5 (S = 3.1) d; Mean recovery time of blood β-HCG levels: 14.9 (S = 8.7) d; Mean recovery of menstruation after operation: 28.7 (S = 5.1) d. 【Conclusion】 Transvaginal cesarean scar pregnancy debridement surgery is a new surgical treatment for CSP. It showed less damage, rapid postoperative recovery, fewer complications, and feasible and effective. |
| |
| Keywords: | cesarean scar pregnancy(CSP) transvaginal debridement |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
| 点击此处可从《中山大学学报(医学科学版)》浏览原始摘要信息 |
|
点击此处可从《中山大学学报(医学科学版)》下载全文 |
