垂体后叶素宫颈注射治疗子宫疤痕妊娠阴道大出血疗效分析  

Study on efficacy of pituitrin cervical injection in treatment of vaginal massive bleeding due to scar pregnancy

作　　者：李翠芬[1] 韩临晓[1] 刘燕燕[1] 

机构地区：[1]南方医科大学附属东莞市石龙人民医院妇科,广东东莞523000

出　　处：《临床和实验医学杂志》2012年第9期684-685,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨垂体后叶素宫颈注射治疗疤痕妊娠阴道大出血的疗效。方法 40例子宫疤痕妊娠患者均有1次剖宫产史,剖宫产术式均为子宫下段横切口。再次妊娠后孕囊种植于疤痕处。流产术前确诊,术中、术后确诊均有大出血,予宫颈注射垂体后叶素处理(观察组)。另选同期子宫疤痕妊娠常规处理患者13例(对照组)。结果观察组阴道流血量、输血总量均少于对照组,子宫切除率也低于对照组,两组比较差异显著(P<0.05)。结论垂体后叶素宫颈注射治疗子宫疤痕妊娠阴道大出血,安全有效,值得推广使用。Objective To study the posterior pituitary hormone（pipuitrin） cervical injection in treatment of vaginal hemorrhage caused by scar pregnancy.Methods Forty cases of scar pregnancy had the history of once cesarean section,the type of cesarean section was lower segment transverse incision of uterus.At the second pregnancy,pregnant sac was planted in the place with scar.Massive hemorrhage occurred before abortion,perioperation or post-operation,it could be treated by cervical injection of pituitrin.Results The conservative treatment in 40 cases of observation group was successful in 38 cases,hysterectomy was carried out in 2 cases,and the rate of hysterectomy was 5%.Conclusion Cervical injection of posterior pituitary hormone（pituitrin） in treatment of massive vaginal bleeding due to scar pregnancy is successful,and the next step for treatment including interventional therapy or operation may minimize the bleeding in order to avoid hysterectomy and the occurrence of DIC.The application of this kind of treatment has advantages of fast action,simple procedure and high safety,and its efficacy is sure.

关 键 词：子宫疤痕妊娠 垂体后叶素 宫颈注射 阴道出血 

分 类 号：R719.8[医药卫生—妇产科学]