[1]杨树环,王志毅,蔡 钰.举宫杯在腹腔镜下剖宫产瘢痕妊娠病灶清除术中的临床应用[J].医学信息,2019,(17):72-74,86.[doi:10.3969/j.issn.1006-1959.2019.17.022]
 YANG Shu-huan,WANG Zhi-yi,CAI Yu.Clinical Application of Uterine Cup in Laparoscopic Caesarean Scar Pregnancy Removal[J].Medical Information,2019,(17):72-74,86.[doi:10.3969/j.issn.1006-1959.2019.17.022]
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举宫杯在腹腔镜下剖宫产瘢痕妊娠病灶清除术中的临床应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2019年17期
页码:
72-74,86
栏目:
论著
出版日期:
2019-09-01

文章信息/Info

Title:
Clinical Application of Uterine Cup in Laparoscopic Caesarean Scar Pregnancy Removal
文章编号:
1006-1959(2019)17-0072-04
作者:
杨树环王志毅蔡 钰
四川省宜宾市第一人民医院妇科,四川 宜宾 644000
Author(s):
YANG Shu-huanWANG Zhi-yiCAI Yu
Department of Gynecology,the First People's Hospital of Yibin City,Yibin 644000,Sichuan,China
关键词:
举宫杯腹腔镜剖宫产瘢痕妊娠
Keywords:
Key words:Uterine cupLaparoscopyCesarean scar pregnancy
分类号:
R713.8
DOI:
10.3969/j.issn.1006-1959.2019.17.022
文献标志码:
A
摘要:
目的 探讨举宫杯在经腹腔镜下剖宫产瘢痕妊娠病灶清除术中的临床应用价值。方法 回顾性分析2016年1月~2018年6月在我院住院治疗的52例剖宫产瘢痕妊娠患者相关资料。根据治疗方式不同分组,将经安置举宫杯后行腹腔镜下剖宫产瘢痕妊娠病灶清除术的28例设为研究组,将未安置举宫杯直接行腹腔镜下剖宫产瘢痕妊娠病灶清除术的24例设为对照组。比较两组术中出血量、手术时间、术后月经恢复时间、HCG恢复正常时间、取尿管时间、术后疼痛、持续性切口妊娠发生、住院时间及费用。结果 研究组术中出血量(56.67±0.55)ml、手术时间(58.51±0.67)ml,取尿管时间(1.08±0.03)d均少于对照组的(121.50±1.24)ml、(118.98±4.74)ml、(2.16±0.05)d,具有统计学意义(P<0.05)。两组术后月经恢为复时间、HCG复常时间、术后疼痛、住院时间、住院费用、术后疼痛、术后持续性切口妊娠发生情况比较,差异无统计学意义(P>0.05)。结论 举宫杯在腹腔镜下剖宫产瘢痕妊娠病灶清除术中具有减少出血量、缩短手术时间等优点,对降低手术难度具有重要意义。
Abstract:
Abstract:Objective To investigate the clinical application value of the lifting cup in the laparoscopic cesarean scar pregnancy.Methods A retrospective analysis of 52 patients with cesarean scar pregnancy who were hospitalized in our hospital from January 2016 to June 2018 was retrospectively analyzed. According to different treatment groups, 28 cases of laparoscopic cesarean section scar pregnancy removal after placement of the uterus cup were set as the study group, and the laparoscopic cesarean scar pregnancy lesions were directly placed without the uterus cup. 24 cases of debridement were set as the control group. The intraoperative blood loss, operation time, postoperative menstrual recovery time, HCG recovery time, urinary catheter time, postoperative pain, persistent incision pregnancy, hospitalization time and cost were compared between the two groups.Results In the study group, intraoperative blood loss (56.67±0.55) ml, operation time (58.51±0.67) ml, and urinary catheter time (1.08±0.03) d were less than the control group (121.50±1.24) ml, (118.98±4.74). ) ml, (2.16 ± 0.05) d, with statistically significant (P<0.05). There were no significant differences in postoperative menstrual recovery time, HCG recurrence time, postoperative pain, hospitalization time, hospitalization cost, postoperative pain, and postoperative persistent incision pregnancy between the two groups (P>0.05).Conclusion The uterine cup has the advantages of reducing the amount of bleeding and shortening the operation time during laparoscopic cesarean scar pregnancy removal, which is of great significance for reducing the difficulty of surgery.

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更新日期/Last Update: 2019-09-01