子宫动脉栓塞术预处理后宫腔镜手术治疗子宫瘢痕妊娠的疗效分析  

Efficacy analysis of hysteroscopy for the treatment of caesarean scar pregnancy after uterine artery embolization pretreatment

作　　者：胡银笑 黄丽斯[1] 庞剑霞[1] HU Yin-xiao;HUANG Li-si;PANG Jian-xia(Department of Obstetrics and Gynecology,Zhongshan Boai Hospital,Zhongshan 528400,China)

机构地区：[1]中山市博爱医院妇产科

出　　处：《中国实用医药》2019年第17期29-31,共3页China Practical Medicine

摘　　要：目的观察子宫动脉栓塞术(UAE)预处理后宫腔镜手术治疗子宫瘢痕妊娠(CSP)的临床疗效。方法 100例CSP患者,随机分为观察组与对照组,每组50例。对照组患者采用传统清宫术治疗,观察组患者采用UAE颅处理后宫腔镜手术治疗,观察并比较两组患者手术时间、术中出血量及术后人绒毛膜促性腺激素(HCG)转阴时间、术后感染发生情况。结果观察组患者手术时间、术中出血量、术后HCG转阴时间分别为(62.25±1.40)min、(18.10±1.20)ml、(22.15±1.80)d,均优于对照组的(85.40±1.50)min、(27.15±2.20)ml、(45.15±1.20)d,差异具有统计学意义(P<0.05)。观察组患者术后感染发生率为2.00%(1/50),低于对照组的22.00%(11/50),差异具有统计学意义(χ^2=9.4697, P<0.05)。结论 UAE预处理后宫腔镜手术治疗CSP的疗效显著,能缩短手术时间,减少术中出血量,降低术后感染率,具有积极推广价值。Objective To observe the clinical efficacy of hysteroscopy for the treatment of caesarean scar pregnancy(CSP) after uterine artery embolization(UAE) pretreatment. Methods A total of 100 CSP patients were randomly divided into observation group and control group,with 50 cases in each group.The control group was treated with traditional hysteroscopy and the observation group was treated with hysteroscopy after UAE pretreatment. Observation and comparison were made on operation time, intraopeative bleeding volume,postoperative negative conversion time of human chorionic gonadotropin(HCG) and occurrence of postoperative infection between the two groups. Results The observation group had better operation time, intraopeative bleeding volume, postoperative negative conversion time of HCG respectively as(62.25± 1.40) min,(18.10±1.20)ml and(22.15±1.80)d than(85.40± 1.50)min,(27.15±2.20)ml and(45.15± 1.20)d in the control group.Their difference was statistically significant(P<0.05).The observation group had lower incidence of postoperative infection as 2.00%(1/50) than 22.00%(11/50) in the control group,and the difference was statistically significant(χ^2=9.4697, P<0.05). Conclusion Hysteroscopy after UAE pretreatment shows remarkable efficacy in treating CSP, and it can shorten operation time, reduce intraoperative bleeding volume and lower postoperative infection rate. It contains positive promotion value.

关 键 词：子宫动脉栓塞术 子宫瘢痕妊娠 宫腔镜 明胶海绵微粒 临床效果 

分 类 号：R713.8[医药卫生—妇产科学]