垂体后叶素及缩宫素宫颈注射联合吸宫术+宫腔镜检查术在Ⅰ~Ⅱ型瘢痕妊娠中的应用.docxVIP

垂体后叶素及缩宫素宫颈注射联合吸宫术+宫腔镜检查术在Ⅰ~Ⅱ型瘢痕妊娠中的应用 [摘要]目的 探討垂体后叶素及缩宫素宫颈注射联合吸宫术+宫腔镜检查术在Ⅰ～Ⅱ型瘢痕妊娠中的应用效果。方法 选取20XX年8月～20XX年12月我院收治的98例Ⅰ～Ⅱ型瘢痕妊娠患者作为研究对象，依据随机数字表法将患者分为观察组与对照组，每组各49例。对照组患者给予硬膜外麻醉下经阴道瘢痕妊娠病灶清除术，研究组患者给予垂体后叶素及缩宫素宫颈注射联合吸宫术+宫腔镜检查术。比较两组患者的术中出血量、手术时间、血人绒毛膜促性腺激素（HCG）转阴时间、住院时间、住院费用和并发症发生情况。结果 观察组患者的术中出血量少于对照组，手术时间、血HCG转阴时间短于对照组，差异有统计学意义（P0.05）。观察组患者的住院时间短于对照组，住院费用少于对照组，差异有统计学意义（P0.05）。观察组患者的并发症总发生率为4.08%，低于对照组的16.33%，差异有统计学意义（P0.05）。结论 垂体后叶素及缩宫素宫颈注射联合吸宫术+宫腔镜检查术治疗Ⅰ～Ⅱ型瘢痕妊娠的效果显著，能够缩短患者的治疗时间，减少出血，且无手术切口，并发症少，值得临床推广应用。 [关键词]垂体后叶素;缩宫素;宫颈注射;吸宫术;宫腔镜检查术;Ⅰ～Ⅱ型瘢痕妊娠 [中图分类号] R714.461 [文献标识码] A [文章编号] 1674-4721（2020）7（c）-0106-03 Application of cervical injection of Pituitrin and Oxytocin combined with uterine aspiration + hysteroscopy in type Ⅰ-Ⅱ scar pregnancy DENG Shu-lan Department of Gynecology and Obstetrics， Jiangxi Ji′an Maternal and Child Health Hospital， Jiangxi Province， Ji′an 343000， China [Abstract] Objective To explore the application effect of cervical injection of Pituitrin and Oxytocin combined with uterine aspiration + hysteroscopy in type Ⅰ-Ⅱ scar pregnancy. Methods A total of 98 patients with type Ⅰ-Ⅱ scar pregnancy who were admitted to our hospital from August 20XX to December 20XX were selected as research subjects. According to the random number table method， the patients were divided into observation group and control group， with 49 cases in each group. The control group was given removal of transvaginal scar pregnancy lesions under epidural anesthesia， and the study group was given cervical injection of Pituitrin and Oxytocin combined with uterine aspiration + hysteroscopy. The intraoperative blood loss， surgery time， negative conversion time of blood human chorionic gonadotropin （HCG）， length of hospital stay， hospitalization cost and complications were compared between the two groups. Results The intraoperative blood loss in the observation group was less than that in the control group， the surgery time and the negative conversion ti