超声在评估剖宫产术后瘢痕妊娠术中出血的价值  

Value of Ultrasound in Assessment of Intraoperative Hemorrhage of Cesarean Scar Pregnancy

作　　者：马一博[1] 邵小南[2] 马彦[1] 

机构地区：[1]苏州大学附属第三医院超声科,江苏省常州市213003 [2]苏州大学附属第三医院核医学科,江苏省常州市213003

出　　处：《中国超声医学杂志》2017年第3期252-255,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨超声在评估子宫瘢痕妊娠(CSP)治疗中子宫出血的价值。方法 58例CSP患者,根据术中子宫出血量分为观察组1(>200ml,15例)和观察组2(≤200ml,43例)。与出血相关的危险因素进行单因素分析及多因素Logistic回归分析。结果单因素分析发现观察组1停经时间及超声测量肿块最大径高于观察组2,差异有统计学意义(P均<0.05)。多因素分析发现,肿块最大径为术中子宫出血唯一有意义的危险因素(P=0.013,OR=1.067,95%CI=1.014~1.123)。结论超声测量肿块最大径和停经时间可预测CSP术中出血风险,且肿块最大径的预测价值更大。Objective To investigate the value of ultrasound in assessment of intraoperative hemorrhage of cesarean scar pregnancy （CSP）. Methods According to the quantity of intraoperative hemorrhage, 58 CSP patients were divided into group 1 （〉200 ml, 15 cases） and group 2 （≤200 ml, 43 cases）. The hemorrhage-related risk factors had univariate analysis and multivariate Logistic regression analysis. Results The univariate analysis showed that the me nolipsis time and maximum diameter of mass in group 1 was significantly larger than in group 2 （all P〈0.05）. Multivariate analysis showed that only the maximum diameter of mass in the retrospective equation was significant （P = 0. 013, OR= 1. 067, 95% CI= 1. 014 - 1. 123）. Conclusions Both menolipsis time and maximum diameter of mass measured by ultrasound can be used to predict the risk of intraoperative hemorrhage, and the latter have greater predictive value.

关 键 词：超声 瘢痕妊娠 出血 子宫动脉栓塞术 清宫术 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.22[医药卫生—诊断学]