Clinical Effect of Transvaginal Eradication of Low-segment Uterine Scar Pregnancy Focus Combined with Repair of Uterine Wall in the Treatment of Cicatricial Uterine Pregnancy after Cesarean Section
Objective:To analyze the effect of transvaginal eradication of low-segment uterine scar pregnancy focus combined with repair of uterine wall in patients with cicatricial uterine pregnancy after cesarean section.Method:A total of 50 patients with cicatricial uterine pregnancy after cesarean section treated in Yingtan 184th Hospital from November 2021 to December 2022 were selected and divided into control group(n=25)and observation group(n=25)according to random number table method.The control group was treated with uterine artery embolization+Methotrexate+evacuation of uterus,and the observation group was treated with transvaginal eradication of low-segment uterine scar pregnancy focus+repair of uterine wall,and followed up for 3 months.Perioperative indexes,postoperative recovery,quality of life and complications were compared between the two groups.Result:The intraoperative bleeding volume in the observation group was(65.21±4.48)mL,less than(87.49±6.37)mL in the control group(P<0.05).In the observation group,the hospitalization time was(6.96±1.54)d,the menstruation resurgence time was(31.35±2.56)d,the blood β-human chorionic gonadotropin(β-hCG)return to normal time was(18.36±1.59)d,were shorter than(8.37±1.89),(42.58±4.39),(25.44±2.57)d of control group(P<0.05).The incidence of complications in the observation group was 8.00%(2/25),lower than 32.00%(8/25)in the control group,the difference was statistically significant(P<0.05).Before surgery,there were no statistical significance in the scores of each dimension of world health organization quality of life scale(WHOQOL-BREF)between the two groups(P>0.05).After surgery,the scores of each dimension of WHOQOL-BREF in the observation group were(75.96±3.42),(74.39±4.08),(76.84±3.44),(72.49±3.49)scores,were higher than(69.84±2.98),(68.44±3.57),(70.38±2.96),(66.84±2.96)scores in the control group,the differences were statistically significant(P<0.05).Conclusion:Transvaginal eradication of low-segment uterine scar pregnancy focus+repair of uterine wall has the advantages of less trauma and short operation time,which is conducive to postoperative recovery of patients with cicatricial uterine pregnancy after cesarean section,improve the quality of life,and have fewer complications.
Cicatricial uterine pregnancy after cesarean sectionTransvaginal eradication of low-segment uterine scar pregnancy focusRepair of uterine wallQuality of lifeComplications
万方数据
维普
