[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,2019,32(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].Journal of Medical Information,2019,32(17):72-74,86.[doi:10.3969/j.issn.1006-1959.2019.17.022]
点击复制

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()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32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-huan; WANG Zhi-yi; CAI 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 cup; Laparoscopy; Cesarean 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.

参考文献/References:

[1]李露,张轶清.子宫疤痕处妊娠研究进展[J].承德医学院学报,2016,33(3):246-249. [2]Horne AW,Skubisz MM,Johns TG,et al.Combination gefitinib and methotrexate treatment for non-tubal ectopic pregnancies:a case series[J].Hum Reprod,2014,29(7):1375-1379. [3]傅柳陶,金东,卫兵,等.阴道超声联合MRI对剖宫产后子宫切口瘢痕处妊娠的诊断价值[J].安徽医学,2018,39(8):907-909. [4]韦昕芳,赵华山,姜陵,等.剖宫产切口妊娠患者MRI影像特点及临床结局分析[J].中国CT和MRI杂志,2018,16(5):110-113. [5]瞿薇花,唐震.子宫切口瘢痕妊娠的MRI诊断[J].医学影像学杂志,2016(1):175-177. [6]吴莎,于小娜,王秋玉.不同分型CSP的手术结果分析[J].中国计划生育学杂志,2018,26(12):1254-1256. [7]Godin PA,Bassil S,Donnez J.An ectopic pregnancy developing in a previous caearean section scar[J].Fertil Steril,1997,67(2):398-400. [8]章鹏鹏,孔丽娜.子宫疤痕处妊娠诊断和治疗的最新进展[J].湖北科技学院学报(医学版),2015,29(3):272-275. [9]陈雪,李艳飞,黄岳.宫腔镜手术治疗早期内生型剖宫产术后子宫疤痕妊娠的疗效观察[J].山西医药杂志,2016,45(8):871-875. [10]王玮.腹腔镜手术和开腹手术对异位妊娠治疗效果的对比分析[J].陕西医学杂志, 2016,45(4):423-424. [11]吴一彤.子宫动脉栓塞MTX介入及清宫术联合用于疤痕妊娠的疗效及可行性[J].临床和实验医学杂志,2015,14(19):1638-1641. [12]周传亚,史爱丽,张小玲,等.经阴道切除CSP26例[J].中华灾害救援医学,2016,4(2):113-114. [13]Le A,Shan L,Xiao T,et al.Transvaginal surgicaltreatment of cesarean scar ectopic pregnancy[J].Arch Gynecol Obstet,2013,287(4):791-796. [14]Fystra DL,Pound Z,Chang T,et al.Ectopic Pregnancy within a cesareean delivery scar:A case report[J].Am J Obsstct Gynecol,2002,187(2):3022-3041. [15]Fong J,Gurewitsch ED,Kang HJ,et al.An analysis of transfusion prectics and the role of intraoperative red blood cell salvage during cesarean delivery[J].Anesth Analg,2007,1049(3):666. [16]庄粤冰.经阴道病灶切除术治疗32例子宫瘢痕妊娠的临床分析[J].现代妇产科进展,2016,25(4):296-297. [17]尹香花,顾建娟,成艳.杯状举宫器联合超声刀在腹腔镜全子宫切除术中的应用价值[J].中国微创外科杂志,2010,10(12):1086-1087. [18]蒋燕,赵卫东,周虎.腹腔镜联合杯状举宫器下全子宫切除术的学习曲线[J].安徽医学,2014,35(8):1023-1026. [19]庄元,罗燕,李福敏.腹腔镜与阴式手术治疗外生型CSP的对比研究[J].中国妇幼保健,2018,33(14):3314-3317.

相似文献/References:

[1]王 丹.腹腔镜子宫全切除术与开腹手术的临床效果分析[J].医学信息,2018,31(03):105.[doi:10.3969/j.issn.1006-1959.2018.03.034]
　WANG Dan.Analysis of Clinical Effects between Total Laparoscopic Hysterectomy and Open Hysterectomy[J].Journal of Medical Information,2018,31(17):105.[doi:10.3969/j.issn.1006-1959.2018.03.034]
[2]李华桥.腹腔镜联合胃镜行胃间质瘤切除术对胃间质瘤患者 术后康复及并发症的影响分析[J].医学信息,2018,31(05):114.[doi:10.3969/j.issn.1006-1959.2018.05.039]
　LI Hua-qiao.Effect of Laparoscopy Combined with Gastroscopy for Gastric Stromal Tumor Resection on Postoperative Rehabilitation and Complications of Gastric Stromal Tumor Patients[J].Journal of Medical Information,2018,31(17):114.[doi:10.3969/j.issn.1006-1959.2018.05.039]
[3]李建勇.腹腔镜下手术治疗卵巢巧克力囊肿研究[J].医学信息,2018,31(12):57.[doi:10.3969/j.issn.1006-1959.2018.12.018]
　LI Jian-yong.Laparoscopic Surgery for Ovarian Chocolate Cysts[J].Journal of Medical Information,2018,31(17):57.[doi:10.3969/j.issn.1006-1959.2018.12.018]
[4]夏易曼娜,李虎成.腹腔镜下宫颈癌根治术与传统开腹手术的对比研究[J].医学信息,2018,31(12):115.[doi:10.3969/j.issn.1006-1959.2018.12.036]
　XIA Yi-manna,LI Hu-cheng.Comparative Study of Laparoscopic Radical Resection of Cervical Cancer and Traditional Open Surgery[J].Journal of Medical Information,2018,31(17):115.[doi:10.3969/j.issn.1006-1959.2018.12.036]
[5]张东霞,李文超,白雨昕.腹腔镜下异位妊娠病灶清除术的治疗效果及对患者炎性反应指标和术后恢复的影响[J].医学信息,2022,35(11):121.[doi:10.3969/j.issn.1006-1959.2022.11.031]
　ZHANG Dong-xia,LI Wen-chao,BAI Yu-xin.Effect of Laparoscopic Removal of Ectopic Pregnancy and its influence on Inflammatory Response Indexes and Postoperative Recovery[J].Journal of Medical Information,2022,35(17):121.[doi:10.3969/j.issn.1006-1959.2022.11.031]
[6]刘秀娟,刘 辉.子宫内膜异位症相关性不孕的诊断及治疗研究[J].医学信息,2018,31(14):35.[doi:10.3969/j.issn.1006-1959.2018.14.012]
　LIU Xiu-juan,LIU Hui.Diagnosis and Treatment of Endometriosis Related Infertility[J].Journal of Medical Information,2018,31(17):35.[doi:10.3969/j.issn.1006-1959.2018.14.012]
[7]张 磊,张学军.腹腔镜与开腹胰十二指肠切除术临床疗效单中心回顾性研究[J].医学信息,2019,32(02):118.[doi:10.3969/j.issn.1006-1959.2019.02.033]
　ZHANG Lei,ZHANG Xue-jun.A Single-center Retrospective Study of Clinical Efficacy of Laparoscopic and Open Pancreaticoduodenectomy[J].Journal of Medical Information,2019,32(17):118.[doi:10.3969/j.issn.1006-1959.2019.02.033]
[8]闫 军,寇旭东,马 博,等.Hem-o-lok结扎锁和Endoloop套扎在 腹腔镜阑尾切除术中的临床研究[J].医学信息,2018,31(18):83.[doi:10.3969/j.issn.1006-1959.2018.18.025]
　YAN Jun,KOU Xu-dong,MA Bo,et al.Clinical Study of Hem-o-lok Ligation Lock and Endoloop Ligation in Laparoscopic Appendectomy[J].Journal of Medical Information,2018,31(17):83.[doi:10.3969/j.issn.1006-1959.2018.18.025]
[9]韦 林,赵军玲,宾 力,等.异位妊娠腹腔镜镜像与TVS表现及 血清β-HCG表达的相关性研究[J].医学信息,2019,32(12):85.[doi:10.3969/j.issn.1006-1959.2019.12.026]
　WEI Lin,ZHAO Jun-ling,BIN Li,et al.Correlation Research between Laparoscopic Mirror Image of Ectopic Pregnancy and TVS Expression and Serum β-HCG Expression[J].Journal of Medical Information,2019,32(17):85.[doi:10.3969/j.issn.1006-1959.2019.12.026]
[10]姚文超,彭继红.腹腔镜下电凝阻断子宫动脉在无生育要求患者子宫肌瘤剔除术中的应用及预后[J].医学信息,2018,31(21):103.[doi:10.3969/j.issn.1006-1959.2018.21.028]
　YAO Wen-chao,PENG Ji-hong.Application and Prognosis of Laparoscopic Electrocoagulation for Uterine Artery Removal in Patients with Uterine Fibroids without Fertility Requirements[J].Journal of Medical Information,2018,31(17):103.[doi:10.3969/j.issn.1006-1959.2018.21.028]

更新日期/Last Update: 2019-09-01