腹腔镜子宫下段肌层折叠缝合治疗子宫瘢痕妊娠20例
张彤艳;韩新彦;李爱丽
【期刊名称】《中华医学杂志》 【年(卷),期】2018(098)047
【摘要】目的 探讨经腹腔镜手术治疗子宫瘢痕妊娠(CSP)的一种新的手术方法.方法 回顾性分析河北省邯郸市中心医院2015年1月至2018年6月经腹腔镜子宫下段肌层折叠缝合治疗Ⅲ型CSP患者20例.结果 腹腔镜子宫下段肌层折叠缝合配合人工流产手术的20例患者,均取得满意的治疗效果,手术时间短[(47±11)min],出血少[(40±17)ml],术后人绒毛膜促性腺激素下降良好,术后3个月复查彩超子宫下段肌层愈合好,厚度恢复正常,平均(3.9±0.3)mm.结论 腹腔镜子宫下段肌层折叠缝合配合人工流产手术治疗子宫瘢痕妊娠,修复了薄弱的子宫肌层,手术易于掌握,患者创伤小,术后恢复快,避免了子宫肌层的再次损伤,容易在基层推广.%Objective To explore a new surgical method to treat cesarean scar pregnancy ( CSP) by laparoscopic surgery.Method The clinical data of 20 patients with CSP treated by laparoscopic subsegmental muscle folding and suture between January 2015 and June 2018 in our hospital were retrospectively analyzed .Results Abortion was performed in 20 patients with CSP after laparoscopic suture of the lower segment of the uterus, the results was satisfying.Operation time was short, average (47 ± 11) minutes.Bleeding was less, average (40 ±17) ml.Human chorionic gonadotropin ( HCG) decreased well after operation.Color ultrasound examination was