【摘 要】
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目的探讨腹腔镜治疗剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)术中中转开腹手术的原因。方法回顾性分析2011年7月至2013年12月郑州市妇幼保健院妇产科治疗的196例CSP患者
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目的探讨腹腔镜治疗剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)术中中转开腹手术的原因。方法回顾性分析2011年7月至2013年12月郑州市妇幼保健院妇产科治疗的196例CSP患者中4例中转开腹手术的临床资料,分析腹腔镜治疗CSP术中中转开腹手术的原因。结果 4例均顺利完成开腹手术,中转开腹的原因是术野出血多。术后恢复顺利,均治愈出院。结论手术野出血为CSP术中中转开腹的主要原因,严格掌握手术适应证,提高手术医生的操作水平可防止严重并发症的发生。
Objective To investigate the causes of laparoscopic cesarean scar pregnancy (CSP) during laparotomy. Methods The clinical data of 4 cases of open laparotomy in 196 cases of CSP treated in obstetrics and gynecology department of Zhengzhou Maternal and Child Health Hospital from July 2011 to December 2013 were retrospectively analyzed. Laparoscopic treatment of laparotomy in CSP the reason. Results 4 cases were successfully completed laparotomy, laparotomy due to surgical field more bleeding. Postoperative recovery was successful, were cured. Conclusions The surgical field hemorrhage is the main reason of CSP intraoperative laparotomy. To strictly control the operation indications and improve the operating level of the surgeon can prevent serious complications.
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