超选择性子宫动脉栓塞治疗瘢痕妊娠疗效评价及对卵巢功能的影响  

作　　者：吴亮[1] 王林友[1] 华浅近[1] 

机构地区：[1]台州学院医学院附属台州市立医院,318000

出　　处：《浙江临床医学》2017年第5期883-884,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨经微导管超选择性子宫动脉栓塞在瘢痕妊娠治疗中的价值。方法回顾性分析2009年1月至201年12月117例瘢痕妊娠患者的临床资料，其中选择普通栓塞65例，超选择性栓塞52例。结果超选择性栓塞组手术时间、清宫时出血量明显优于手术组（P〈0．05）；超选择性栓塞组术后腹痛发生率优于普通栓塞组（P〈0．05），超选择性栓塞组术后恢复月经时间与普通栓塞组差异无统计学意义（P〉0．05）。结论超选择性子宫动脉栓塞治疗瘢痕妊娠较普通介入栓塞更安全、高效；避免对子宫动脉卵巢支的栓塞，对保护卵巢功能起到积极作用。Objective To investigate the value of super selective uterine artery embolization in the treatment of scar pregnancy by via micro catheter. Method The clinical data of 117 cases of scar pregnancy in our hospital were retrospectively analyzed, which 65 cases of general interventional embolization group, 52 cases of super selective embolization group. Result Comparison of two groups of data, the operation time, the hemorrhage volume, super selective embolization group was significantly better than the surgery group （ P〈0.05 ） .Incidence of abdominal pain after operation and the hemorrhage volume in superselective embolization group were significantly better than the surgery group＇ s （ P〈0.05 ） .There was no significant difference between the normal group and the super selective embolization group during the postoperative recovery period （ P〉0.05 ） . Conclusion Ultra selective uterine artery embolization for the treatment of scar pregnancy is safer and more efficient than the common interventional embolization; avoidance of uterine artery and ovarian artery embolism, the protection of ovarian function has a positive significance.

关 键 词：瘢痕妊娠 微导管 栓塞 卵巢功能 

分 类 号：R714.461[医药卫生—妇产科学]