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《Ningxia Medical Journal》 2018-08
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Clinical analysis on 142 cases with cesarean scar pregnancy

LI Xuan;WANG Yuqin;HA Chunfang;LI Haining;JIN Wei;XIONG Ying;CHEN Hua;LI Yan;Department of gynecology,General Hospital of Ningxia Medical University;Ningxia Longde Hospital of Traditional Chinese Medicine;General Hospital of Ningxia Medical University;  
Objective To investigate treatment of caesarean scar pregnancy(CSP) and associated problem. Methods 142 cases with CSP undergoing treatment in General Hospital of Ningxia Medical University were retrospectively studied Methods 144 Patients were divided into 4 groups,and 75 cases treated by curettage(group A),12 cases treated by pregnancy tissue resection under hysteroscopy(group B),38 cases treated by CSP debridement(group C),and 17 cases treated by medical therapy(group D). The operative time,intraoperative blood loss volume,postoperative hospital stay was compared between the 4 groups. Results Group A: 62 cases were type I and 13 cases type II. Group B: 9 cases were type I and 3 cases type II. Group C: 20 cases were type I and 18 cases type II. Group D: 16 cases were type I and 1 cases type II. The quantity of type II in group C was more than others,secondly was group A(P 0. 05).The quantity of type I in group D was more than others,secondly was in group A(P 0. 05). The intraoperative blood loss(29. 17 ±34. 23) mL and operation time(22. 50 ± 5. 44) min of group B were more less than those in other groups(P 0. 05). But there were no statistically significant differences in hospital stay. Conclusion For type I,curettage is easy to operate with widespread use. But teroscopie surgery is worth of being generalized,which showed less damage and rapid postoperative. For type II,CSP debridement is feasible and effective.
【Fund】: 宁夏重点研发计划(科技惠民)项目(2016KJHM52);; 宁夏自然科学基金项目(NZ16166)
【CateGory Index】: R714.22
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