Analysis of the application value of integrated Chinese and Western medicine pretreatment in hysteroscopic debridement surgery of CSP patients
Objective To explore the application value of integrated Chinese and Western medicine pretreatment in hysteroscopic debridement surgery of cesarean scar pregnancy(CSP)patients,so as to provide guidance and suggestions for clinical treatment.Methods The clinical data of 72 CSP patients who underwent hysteroscopic debridement surgery were retrospectively analyzed,and they were randomly divided into group A(34 cases)and group B(38 cases).In group B,hysteroscopic debridement surgery was performed after uterine arterial chemoembolization(UACE)treatment without drug pretreatment before surgery;in group A,on the basis of UACE treatment,integrated Chinese medicine and Western medicine pretreatment was performed before hysteroscopic debridement surgery.Both groups were compared in terms of perioperative related indexes[operation time,intraoperative blood loss,blood transfusion,length of hospital day,treatment cost,and postoperative serum beta human chorionic gonadotropin(β-hCG),postoperative hemoglobin(Hb),and methotrexate application dose].Results Group A had shorter operation time of(22.0±10.8)min than(79.2±22.0)min in group B,and lower treatment cost of(10476.5±2003.2)yuan than(12960.5±2888.7)yuan in group B,and the difference was statistically significant(P<0.05).Comparison of postoperative serum β-hCG,postoperative Hb,intraoperative blood loss,blood transfusion,methotrexate application dose,and length of hospital stay between the two groups showed no statistically significant difference(P>0.05).Both groups did not remove the uterus during treatment,and none of them had residuals after surgery.Conclusion Hysteroscopic debridement surgery after pretreatment with integrated Chinese and Western medicine shows significant surgical effect on CSP patients,and has the advantages of short operation time and low treatment cost.
Integrated Chinese and Western medicineDrug pretreatmentHysteroscopic debridement surgeryCesarean scar pregnancyUterine artery embolization
万方数据
维普
