子宫动脉栓塞术联合超声引导下清宫术治疗剖宫产后瘢痕妊娠的临床分析  

Analysis of uterine artery embolisation in combination of dilation and curettage with ultrasonic in cesarean scar pregnancy

作　　者：焦海宁[1] 沈健[1] 朱岚[1] 刘延[1] 冯炜炜 刘华[1] Jiao Haining;Shen Jian;Zhu Lan;Liu Yan;Feng Weiwei;Liu Hua(Department of Gynecology and Obstetrics,Ruijin Hospital of Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院妇产科,200025

出　　处：《中华生殖与避孕杂志》2020年第2期145-148,共4页Chinese Journal of Reproduction and Contraception

摘　　要：目的探讨子宫动脉栓塞术联合超声引导下清宫术在治疗剖宫产瘢痕部位妊娠(CSP)中的临床疗效。方法回顾性分析2011年7月至2018年1月期间在上海交通大学医学院附属瑞金医院妇科收治的CSP患者42例,按治疗方案不同分为研究组(22例)和对照组(20例),研究组行子宫动脉栓塞术联合超声引导下清宫术;对照组直接行超声引导下清宫术。研究子宫动脉栓塞术在CSP治疗中的疗效。结果研究组和对照组治疗成功率分别为95.45%(21/22)、95.00%(19/20),组间差异无统计学意义(P>0.05)。研究组术中及术后出血总量[(59.09±101.95)mL]、住院时间[(6.86±1.28)d]及血β-人绒毛膜促性腺激素(hCG)恢复时间[(17.54±3.75)d]明显少于对照组[(212.00±432.54)mL、(9.35±1.98)d、(21.75±4.50)d],差异有统计学意义(P<0.001,P<0.001,P=0.0021)。结论子宫动脉栓塞联合超声引导下清宫术治疗剖宫产后瘢痕妊娠是安全、有效的治疗方法。Objective To investigate the clinical effects of uterine artery embolisation in combination of dilation and curettage(D&C)to the patients with cesarean scar pregnancy(CSP).Methods Data about the treatment of trichosanthin injection to 42 patients with CSP during the period of July 2011 to January 2018 from Ruijin Hospital of Shanghai Jiao Tong University School of Medicine were collected and retrospective analysis of their clinical treatment was made.All the patients were divided into two groups.Women in the research group(n=22)underwent uterine artery embolisation in combination of dilation and curettage with ultrasonic.Women in the control group(n=20)underwent dilation and curettage with ultrasonic.The effect of uterine artery embolization in the treatment of CSP was studied.Results There was no difference in success rate between the research group[95.45%(21/22)]and control group[95.00%(19/20)](P>0.05).The volume of blood loss during operation[(59.09±101.95)mL],the duration of hospital stay[(6.86±1.28)d]and time forβ-human chorionic gonadotropin(hCG)recovery[(17.54±3.75)d]in the research group were significantly smaller than those in the control group[(212.00±432.54)mL,(9.35±1.98)d,(21.75±4.50)d](P<0.001,P<0.001,P=0.0021).Conclusion It is proved that treatment for uterine artery embolisation in combination of control with ultrasonic to the patients with CSP is safe and effective.

关 键 词：剖宫产术 瘢痕子宫 瘢痕妊娠 子宫动脉栓塞术 

分 类 号：R713[医药卫生—妇产科学]