经阴式病灶切除术与子宫动脉灌注栓塞术治疗子宫瘢痕妊娠的效果观察  被引量:1

Effect of Transvaginal Focus Resection and Uterine Artery Infusion Embolization in Patients with Uterine Scar Pregnancy

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作  者:张佩玲[1] ZHANG Peiling(Guangzhou Huadu District People’s Hospital,Guangzhou 510800,China)

机构地区:[1]广州市花都区人民医院,广东广州510800

出  处:《中国医学创新》2020年第23期56-59,共4页Medical Innovation of China

摘  要:目的:探讨经阴式病灶切除术与子宫动脉灌注栓塞术治疗子宫瘢痕妊娠的效果。方法:选取本院2016年7月-2019年10月收治的子宫瘢痕妊娠患者150例,根据治疗方法不同分为对照组(n=120)和观察组(n=30)。对照组采用子宫动脉灌注栓塞术治疗,观察组采用经阴式病灶切除术治疗。比较两组手术指标、术前与术后7 d的性功能及并发症发生情况。结果:两组住院及手术时间比较,差异均无统计学意义(P>0.05);观察组术中出血量、人绒毛膜促性腺激素(hCG)恢复时间、月经恢复时间均低于对照组(P<0.05);观察组术后7 d各项性功能评分均高于对照组(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:经阴式病灶切除术可减少子宫瘢痕妊娠患者术中出血量,缩短住院时间,对患者性功能的影响较小,未增加术后并发症发生率,值得推广应用。Objective:To investigate the effect of transvaginal focus resection and uterine artery infusion embolization in patients with uterine scar pregnancy.Method:A total of 150 patients with uterine scar pregnancy from July 2016 to October 2019 in our hospital were selected.According to different treatment methods,they were divided into control group(n=120)and observation group(n=30).The control group was treated with uterine artery embolization,while the observation group was treated with transvaginal focus resection.The surgical indicators,sexual function before and 7 d after surgery and complications were compared between the two groups.Result:There were no significant differences between the two groups in terms of hospital stay and operation time(P>0.05).Intraoperative blood loss,recovery time of human chorionic gonadotropin(hCG)and menstrual recovery time in the observation group were lower than those in the control group(P<0.05).The all scores of sexual functions 7 d after surgery in the observation group were higher than those in the control group(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Transvaginal focus resection can reduce the amount of intraoperative blood loss and shorten the length of hospital stay in uterine scar pregnancy patients,it has little influence on sexual function of patients,and do not increase the incidence of postoperative complications,which is worthy of popularization and application.

关 键 词:子宫瘢痕妊娠 经阴式病灶切除术 子宫动脉灌注栓塞术 

分 类 号:R713.8[医药卫生—妇产科学]

 

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