放射介入联合清宫术在剖宫产术后子宫瘢痕妊娠中的临床价值  

Clinical value of radiation intervention combined with curettage in uterine scar pregnancy after cesarean section

作　　者：曾威[1] 蒋清华[2] 唐艳妮 玉日伟 刘红 ZENG Wei;JIANG Qinghua;TANG Yanni;YU Riwei;LIU Hong(Department of Gynecology,Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital,Nanning 530000,Guangxi,China;Department of Radiology,Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital,Nanning 530000,Guangxi,China;Department of Ultrasound,Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital,Nanning 530000,Guangxi,China)

机构地区：[1]广西壮族自治区妇幼保健院妇科,南宁530000 [2]广西壮族自治区妇幼保健院放射科,南宁530000 [3]广西壮族自治区妇幼保健院超声科,南宁530000

出　　处：《中国性科学》2023年第10期106-109,共4页Chinese Journal of Human Sexuality

基　　金：广西壮族自治区卫生和计划生育委员会科研课题(Z20180075)。

摘　　要：目的 探究放射介入即数字减影血管造影(DSA)技术联合清宫术在剖宫产术后子宫瘢痕妊娠中的应用价值。方法 选取2017年12月至2020年1月用广西壮族自治区妇幼保健院收治的100例剖宫产术后子宫瘢痕妊娠患者作为研究对象。将其随机分为对照组和试验组,每组50例。对照组采用甲氨蝶呤胚囊内注射联合清宫术,试验组采用DSA介入下双侧子宫动脉插管后灌注甲氨蝶呤联合清宫术。比较两组的手术疗效、并发症发生情况、住院时间、月经恢复时间、人绒毛膜促性腺激素(β-hGG)恢复时间、术中出血量。结果 试验组总有效率高于对照组,且并发症发生率低于对照组,差异具有统计学意义(P<0.05)。试验组住院时间、月经恢复时间、β-hGG恢复时间短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05)。结论 DSA介入联合清宫术治疗可提高瘢痕妊娠患者的临床治疗效果,减少术中出血量,缩短术后恢复时间,且术后并发症相对较少。Objective To explore the application value of radiation intervention,which is digital subtraction angiography(DSA)combined with curettage in uterine scar pregnancy after cesarean section.Methods A total of 100 patients with uterine scar pregnancy after cesarean section admitted to the Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital from December 2017 to January 2020 were selected as the research subjects.Patients were randomly divided into a control group and an experimental group,with 50 cases in each group.The control group received intra-embryo injection of methotrexate combined with curettage,while the experimental group received bilateral uterine artery catheterization and perfusion of methotrexate combined with curettage under DSA intervention.The surgical efficacy,incidence of complications,hospital stay,menstrual recovery time,β-human chorionic gonadotropin(hGG)recovery time and intraoperative bleeding volume of the two groups were compared.Results The total effective rate of the experimental group was higher than that of the control group,and the incidence of complications was lower than that of the control group,with a statistically significant difference(P<0.05).Hospital stay,menstrual recovery timeβ-hGG recovery time of was shorter than those of the control group,and the intraoperative bleeding was less than that of the control group,with a statistically significant difference(P<0.05).Conclusions DSA intervention combined with curettage can improve the clinical treatment effect of scar pregnancy patients,reduce intraoperative bleeding,shorten postoperative recovery time,and have relatively fewer postoperative complications.

关 键 词：数字减影血管造影 清宫术 瘢痕妊娠 人绒毛膜促性腺激素恢复时间 

分 类 号：R711[医药卫生—妇产科学]