宫腔镜联合子宫动脉栓塞术治疗子宫瘢痕妊娠疗效的影响因素研究  

Study on influencing factors of hysteroscopy combmed uterine artery embolization in treatment cesarean scar pregnancy

作　　者：曹士红 秦川[2] 

机构地区：[1]郑州人民医院,郑州450000 [2]郑州市第六人民医院,郑州450015

出　　处：《医药论坛杂志》2015年第8期48-49,共2页Journal of Medical Forum

摘　　要：目的分析和探讨影响宫腔镜联合子宫动脉栓塞术治疗子宫瘢痕妊娠疗效的因素。方法对2013年1月—2014年6月郑州人民医院收治的宫腔镜联合子宫动脉栓塞术治疗子宫瘢痕妊娠患者100例,采用回顾性分析的方法,分析术后疗效的影响因素。结果腔镜联合子宫动脉栓塞术治疗子宫瘢痕妊娠的成功率为88.0%(88/100),失败率为12.0%(12/100),且发现胎囊直径大、血β-HCG高、孕周长以及外生型CSP是影响患者术后疗效的主要因素,P<0.05,差异有统计学意义。结论早期认识影响宫腔镜联合子宫动脉栓塞术治疗子宫瘢痕妊娠疗效的因素,并采取积极、有效的治疗,可以提高术后疗效,改善预后。Objective To analyze and discuss on impact hysteroscopy combined uterine artery embolization of uterine scar pregnancy curative effect. Methods In January 2013- June 2014,our hospital hysteroscopy combined uterine artery embolization of uterine scar pregnancy,100 cases of patients,with the method of retrospective analysis,analysis the influence factors of postoperative effect. Results The joint cavity mirror uterine artery embolization for the treatment of uterine scar pregnancy success rate was 88. 0%（ 88 /100）,failure rate was 12. 0%（ 12 /100）,and found that the embryo sac diameter is big,high blood beta HCG,circumference of pregnancy and exogenous type CSP are main factors influencing the curative effect of patients with postoperative,P〈0. 05,the difference was statistically significant. Conclusion Early recognize hysteroscopy combined uterine artery embolization of uterine scar pregnancy curative effect factors,and take positive and effective treatment,can improve the postoperative curative effect,improve prognosis.

关 键 词：宫腔镜联合子宫动脉栓塞术 子宫瘢痕妊娠 疗效 影响因素 

分 类 号：R714.22[医药卫生—妇产科学]