剖宫产瘢痕妊娠并发大出血处理方法探讨  

Discussion on Treatment Methods of Cesarean Scar Pregnancy Complicated With Massive Hemorrhage

作　　者：赵瑞娟 

机构地区：[1]河南省新郑市妇幼保健院妇产科,451100

出　　处：《中国卫生标准管理》2015年第30期82-83,共2页China Health Standard Management

摘　　要：目的探讨剖宫产瘢痕妊娠并发大出血的处理方法及效果。方法将33例CSP并发大出血患者分为观察组(20例)和对照组(13例),对照组采用腹腔镜下病灶清除结合子宫修补术,观察组采用宫动脉甲氨蝶呤灌注和栓塞法,比较两组治疗效果。结果两组患者经治疗后均痊愈,未出现转开腹手术和子宫切除病例,观察组各项观察指标均优于对照组,比较差异具有统计学意义(P<0.05)。结论腹腔镜下病灶清除结合子宫修补术与宫动脉甲氨蝶呤灌注和栓塞法均是处理CSP并发大出血的有效方法,相比较而言,后者治疗效果更优。Objective To investigate the treatment methods and effect of the treatment of cesarean scar pregnancy complicated with massive hemorrhage. Methods 33 patients with CSP were divided into observation group（20 cases）and control group（13 cases）. The control group was treated with laparoscopic combined with uterine repair,the observation group was treated with uterine artery methotrexate infusion and embolization,then the efficacy of the two groups were compared. Results Two groups of patients after treatment were cured,there were not open surgery and hysterectomy cases,and the observation group were better than the control group,the difference was significant（P〈0.05）. Conclusion Laparoscopic combined with uterine repair and uterine artery embolization with uterine artery embolization is an effective methods for treatment of CSP complicated with massive hemorrhage.

关 键 词：剖宫产瘢痕妊娠 大出血 子宫修补 甲氨蝶呤灌注 

分 类 号：R719.8[医药卫生—妇产科学]