李小梅

摘要：目的：分析经阴道子宫瘢痕妊娠病灶切除术治疗子宫瘢痕妊娠的临床效果。方法：抽取2020年1月-2021年5月于本院手术治疗的52例子宫瘢痕妊娠患者，根据病患选择的术式差异划入试验组与参照组（n=26）。参照组施以经腹部病灶切除术，试验组施以经阴道子宫瘢痕妊娠病灶切除术，比较两组患者的手术指标及恢复情况。结果：试验组患者的手术时间、术中出血量及住院时间均相对较低，与参照组对应数据比较有显著区别（p<0.05）。试验组的病症恢复率是96.15%，参照组的病症恢复率是80.77%，试验组的病症恢复率相对较高（p<0.05）。结论：经阴道子宫瘢痕妊娠病灶切除术治疗子宫瘢痕妊娠的临床效果较好，建议推广应用。

关键词：经阴道子宫瘢痕妊娠病灶切除术;子宫瘢痕妊娠;临床治疗

Objective： To analyze the clinical effect of transvaginal resection of scar pregnancy for the treatment of scar pregnancy. METHODS： Fifty-two patients with uterine scar pregnancy who underwent surgical treatment in our hospital from January 2020 to May 2021 were selected and divided into the experimental group and the reference group according to the difference of surgical methods selected by the patients （n=26）. The control group was treated with transabdominal lesion resection， and the experimental group was treated with transvaginal scar pregnancy lesion resection. The surgical indexes and recovery of the two groups were compared. RESULTS： The operative time， intraoperative blood loss and hospitalization time of the experimental group were relatively low， which were significantly different from the corresponding data of the reference group （P < 0.05）. The disease recovery rate of the experimental group was 96.15%， and that of the control group was 80.77%. The disease recovery rate of the experimental group was relatively higher （P < 0.05）. Conclusion： Transvaginal hysterectomy for scar pregnancy has a good clinical effect and is recommended to be popularized.

Key words：Transvaginal hysterectomy for scar pregnancy; Uterine scar pregnancy; Clinical treatment

子宮瘢痕妊娠为产科剖宫产后常见的远期并发症，受精卵着床在以往剖宫产术后子宫瘢痕位置且发育，属于异位妊娠的类型[1]。近年来随着人们思维观念及生活习惯的变化，剖宫产产妇数量不断增加。经腹部子宫瘢痕妊娠病灶切除为常用的术式，具有微创、视野较好的特征，但是手术操作中患者创伤依然较大，影响其术后恢复速度。经阴道子宫瘢痕妊娠病灶切除的方式下，不会形成体表瘢痕，美观度较好且患者恢复速度较快[2]。文章抽取2020年1月-2021年5月于本院手术治疗的52例子宫瘢痕妊娠患者，根据不同术式下病患恢复的情况讨论，内容如下。

1 资料与方法

1.1 基础资料

本次治疗研究抽取2020年1月-2021年5月于本院手术治疗的52例子宫瘢痕妊娠患者，根据病患选择的术式差异划入试验组与参照组（n=26）。……