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作 者:陶可伟[1] 徐中华[1] 靳激扬[1] 李杰[2] 赵丹梅[3]
机构地区:[1]南京医科大学附属常州妇幼保健院放射科,江苏常州213003 [2]东南大学附属中大医院放射科 [3]南京医科大学附属常州妇幼保健院妇科,江苏常州213003
出 处:《实用放射学杂志》2014年第3期485-487,共3页Journal of Practical Radiology
摘 要:目的 评价运用子宫动脉灌注栓塞术治疗剖宫产瘢痕部位妊娠(cesarean scar pregnancy,CSP)的疗效。方法 回顾性分析36例CSP患者的临床资料及治疗方案,将介入治疗病例归为一组,将单纯清宫术治疗病例归为对照组,比较2组病例清宫术中的出血量及大出血的发生率。结果 归入介入组16例,其中4例采用介入结合期待治疗,愈后良好,12例采用介入结合清宫术治疗,清宫术中出血量10~30 mL,所有病例均未发生大出血。归入对照组 20例,采用超声监视下清宫术治疗,术中出血量300~2 000 mL,其中发生大出血5例。介入组出血量及大出血发生率均明显小于对照组,有统计学意义(P〈0.01)。结论 子宫动脉灌注栓塞术是治疗CSP的可靠治疗方法,不仅可以完全治愈,而且可以有效控制出血,为进一步治疗提供必要条件。Objective To evaluate the efficacy of uterine arterial infusion and embolization in treating cesarean scar pregnancy (CSP). Methods The clinical data and treatment protocol of 36 CSP patients were retrospectively analyzed. Cases treated by inter vention theraphy were classified as a group, and those treated by pure curettage were classified as the control group. The intraopera- rive blood loss and incidence of massive hemorrhage were compared between the two groups. Results The interventional group in- cluded 16 cases. 4 cases treated by intervention combined with expectant treatment showed good healing, 12 cases treated by inter- vention combined with curettage showed intraoperative blood loss of 10--30 mL. No massive hemorrhage occurred among all the cases in the interventional group. 20 cases treated by curettage guided by ultrasonography were included in the control group. The intr- aoperative blood loss were 300--2 000 mL. Massive hemorrhage occurred in 5 cases. Both intraoperative blood loss and incidence of intraoperative massive hemorrhage were significantly lower in the interventional group than in the control group (P〈0. 01]. Conclusion Uterine arterial infusion and embolization is a reliable method for treatment of CSP. It can completely cure CSP and effectively control bleeding to provide necessary conditions for further treatment.
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