子宮切口瘢痕妊娠治療方式分析與研究

[摘要] 目的 回顧性分析子宮切口瘢痕妊娠患者的臨床資料，探討不同治療方法對子宮切口瘢痕妊娠的臨床療效。方法 方便選取該院2007年1月—2016年9月收治的138例子宮切口瘢痕妊娠患者，將其隨機分為實驗組與對照組，對照組采用化療方法治療，實驗組采用化療聯合瘢痕局部病灶切除術進行治療，對比兩組患者臨床治療效果與手術情況。結果 實驗組治療有效率98.55%，并發癥發病率13.04%，再次妊娠26.09%，對照組治療有效率為85.50%，并發癥發病率24.64%，再次妊娠14.50%，對比差異有統計學意義（P<0.05）。 結論 子宮切口瘢痕妊娠患者采用瘢痕局部病灶切除術聯合化療的臨床效果更高，患者的術后再孕幾率大，能夠治療患者疾病的同時避免損傷患者生殖功能，值得臨床7鑒。

[關鍵詞] 子宮切口瘢痕妊娠；化療；手術療法；再生育能力

[中圖分類號] R5 [文獻標識碼] A [文章編號] 1674-0742（2016）12（b）-0064-03

Analysis and Research on the Treatment of Uterine Incision Scar Pregnancy

WANG Ting

Sanming City Fujian Maternal and Child Health Hospital of Obstetrics and Gynecology， Sanming，Fujian Province， 365001 China

[Abstract] Objective Retrospective analysis of the treatment of uterine incision scar pregnancy，To investigate the clinical effect of different treatment methods on uterine incision scar pregnancy. Methods We convenient selection in our hospital from January 2007 to September 2016 were 138 cases of patients with uterine scar pregnancy， which were randomly divided into experimental group and control group， the control group using chemotherapy treatment， experimental group was treated with chemotherapy combined with local resection of scar treatment， compared two groups of patients with clinical treatment effect and operation situation. Results The effective rate of the experimental group 98.55%， the incidence of complications of 13.04%， pregnancy， 26.09%， the effective rate of the control group was 85.50%， the incidence of complications of 24.64% pregnancy， 14.50%， the difference was statistically significant（P < 0.05）. Conclusion The clinical effect of uterine scar pregnancy patients with scar local resection combined with chemotherapy is higher in patients with postoperative pregnancy rate， while avoiding the injury of reproductive function to treatment of patients， is worthy of reference.

[Key words] Uterine incision scar pregnancy；Chemotherapy； Surgical treatment； Re fertility

剖宮產的主要方法是對患者的子宮下段做橫行切口，從而分娩出胎兒和胎盤后進行縫合，患者在剖宮產分娩后其腹部會留下橫切疤痕，在子宮下段也會留下瘢痕，除剖宮產外，瘢痕體質女性患者在接收子宮手術治療后也容易在子宮上留有瘢痕，有子宮切口瘢痕的患者如果再次妊娠，極容易出現瘢痕子宮破裂，造成患者與胎兒的生命危險[1]。許多患者在妊娠初期即出現臨床癥狀，如陰道流血、腹痛甚至休克等危及生命的情況，對患者進行血人絨毛膜促性腺激素檢驗，影像學檢查則以經陰道超聲作為檢驗手段[2]。……