经阴道超声辅助子宫动脉化疗栓塞术联合腹腔镜病灶切除术治疗外生型剖宫产瘢痕部位妊娠的效果及其预后  

Effect of transvaginal ultrasonography assisted uterine artery chemoembolization combined with laparoscopic focal resection on pregnancy in the site of external caesarean section scar and its influence on prognosis

作　　者：相海云 XIANG Haiyun(Department of Obstetrics,Linyi Central Hospital,Linyi,Shandong 276400,China)

机构地区：[1]临沂市中心医院产科,山东临沂276400

出　　处：《影像研究与医学应用》2024年第1期42-44,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨外生型剖宫产瘢痕部位妊娠应用阴道超声辅助子宫动脉化疗栓塞术联合腹腔镜病灶切除术治疗的效果及其对预后的影响。方法:纳入2018年4月—2020年4月临沂市中心医院收治的60例外生型剖宫产瘢痕部位妊娠患者,并根据手术方式不同分为腹腔镜组30例和超声辅助组30例,比较两组治疗情况。结果:与腹腔镜组比较,超声辅助组术中出血量更小,手术时间更短(P<0.05)。两组β-人绒毛膜促性腺激素(β-HCG)、月经恢复时间和术前及术后1个月促卵泡激素(FSH)、促黄体激素(LH)、雌二醇激素(E_(2))、抗缪勒氏管激素(AMH)等分泌功能指标水平与术后不良反应发生率、再妊娠率、复发率比较,差异均无统计学意义(P> 0.05)。结论:阴道超声辅助子宫动脉化疗栓塞术联合腹腔镜病灶切除术的临床疗效显著,预后较好,且不会负性影响患者卵巢内分泌功能及远期妊娠。Objective To investigate effect of transvaginal ultrasonography assisted uterine artery chemoembolization combined with laparoscopic resection of focal lesions in the treatment of external caesarean section scar site pregnancy and its impact on prognosis.Methods 60 pregnant patients with abnormal cesarean section scar site admitted to Linyi Central Hospital from April 2018 to April 2020 were included,and divided into laparoscopic group(30 cases) and ultrasound-assisted group(30 cases) according to differnet surgical methods,the treatment of the two groups was compared.Results Companed with the laparoscopic group,the amount of blood loss and operation time in the ultrasound-assisted group were less(P<0.05).β-Human Chorionic Gonadotrophin(β-HCG),menstrual recovery time,and luteinizing hormone(FSH) in both groups before and after surgery,luteinizing hormone(LH),estradiol hormone(E_(2)),anti-Mullerian hormone(AMH) and other secretory function indicators were compared with the incidence of postoperative adverse reactions,repregnancy and recurrence,the differences were not statistically significant(P>0.05).Conclusion Transvaginal ultrasoundassisted uterine arterial chemoembolization combined with laparoscopic focal resection has significant clinical efficacy and good prognosis,and will not negatively affect the ovarian endocrine function and long-term pregnancy.

关 键 词：经阴道超声检查 子宫动脉化疗栓塞术 腹腔镜病灶切除术 瘢痕部位妊娠 预后 

分 类 号：R445.1[医药卫生—影像医学与核医学]