双侧子宫动脉栓塞后清宫术治疗子宫瘢痕妊娠的效果及对患者生活质量的影响  

Effect of uterine curettage after bilateral uterine artery embolization in the treatment of cesarean scar pregnancy and its influence on patients′ quality of life

作　　者：陈银凤[1] 霍雷[1] 范瑜洁[1] CHEN Yin-feng;HUO Lei;FAN Yu-jie(The Second Department of Gynecology,Longgang Maternal and Child Health Hospital of Shenzhen City,Guangdong Province,Shenzhen,518172,China)

机构地区：[1]深圳市龙岗区妇幼保健院妇二科

出　　处：《中国当代医药》2019年第26期113-115,共3页China Modern Medicine

摘　　要：目的探讨双侧子宫动脉栓塞后清宫术治疗子宫瘢痕妊娠(CSP)的效果及对患者生活质量的影响。方法回顾性分析2015年11月~2018年11月我院收治的73例CSP产妇的临床资料,根据手术方式的不同分为研究组(23例)和对照组(50例)。研究组采用双侧子宫动脉栓塞后清宫术,对照组采用阴式子宫瘢痕妊娠清除及子宫修补术。比较两组的治疗总有效率、手术基本情况及术后不同时间生活质量评分。结果两组的治疗总有效率、术中出血量、血清绒毛促性腺激素(β-HCG)浓度恢复所需时间比较,差异无统计学意义(P>0.05);研究组的手术时间短于对照组,差异有统计学意义(P<0.05)。术后3个月,两组的心理和环境评分比较,差异无统计学意义(P>0.05);研究组术后3个月的生理和社会关系评分高于对照组,差异均有统计学意义(P<0.05);术后6个月,两组的生理、心理、环境及社会关系评分比较,差异无统计学意义(P>0.05)。结论双侧子宫动脉栓塞后清宫术治疗子宫瘢痕妊娠与阴式子宫瘢痕妊娠清除及子宫修补术的治疗效果相当,双侧子宫动脉栓塞后清宫术治疗子宫瘢痕妊娠可缩短手术时间,提高术后3个月的生理和社会关系评分,患者可根据实际情况选择手术方式。Objective To explore the effect of uterine curettage after bilateral uterine artery embolization in the treatment of cesarean scar pregnancy(CSP)and its influence on patients′quality of life.Methods The clinical data of 73 CSP parturients admitted to our hospital from November 2015 to November 2018 were retrospectively analyzed,they were divided into study group(23 cases)and control group(50 cases)according to different surgical methods.The study group was treated with bilateral uterine artery embolization followed by uterine curettage,while the control group was treated with vaginal uterine scar pregnancy clearance and uterine repair.The total effective rate of treatment,the basic condition of operation and the scores of quality of life at different time after operation were compared between the two groups.Results There were no significant differences in total effective rate,intraoperative bleeding volume and recovery time of serum chorionic gonadotropin(β-HCG)concentration between the two groups(P>0.05).The operation time of the study group was shorter than that of the control group,the difference was statistically significant(P<0.05).Three months after operation,there were no significant differences in psychological and environmental scores between the two groups(P>0.05).The scores of physiological and social relations in the study group were higher than those in the control group at 3 months after operation,the differences were statistically significant(P<0.05).Six months after operation,there were no significant differences in the scores of physiological,psychological,environmental and social relations between the two groups(P>0.05).Conclusion Bilateral uterine artery embolization followed by uterine hysterectomy for scar pregnancy is equivalent to vaginal uterine scar pregnancy clearance and uterine repair.Bilateral uterine artery embolization followed by uterine hysterectomy for scar pregnancy can shorten the operation time and improve the physiological and social relationship score of 3 months after op

关 键 词：清宫术 阴式手术 子宫瘢痕妊娠 生活质量 

分 类 号：R714[医药卫生—妇产科学]