摘要
目的:探讨子宫剖宫产疤痕妊娠(CSP)的诊断和最佳治疗方法,为后续的临床研究工作提供理论依据和临床资料。方法:回顾性分析我院2010年2月-2012年2月收治的30例CSP患者的临床资料。结果:30例患者中,有25例行双侧子宫动脉栓塞(UAE)+MTX灌注术后,再行清宫术,手术均获得成功,术后无任何并发症出现;另外5例患者因误诊为宫内妊娠后行人工流产术时发生大出血转至我院进行抢救,其中,4例成功实施了子宫动脉栓塞术,达到了止血目的,1例因子宫破裂直接行全子宫切除术。结论:对子宫剖宫产疤痕妊娠(CSP)患者实施双侧子宫动脉栓塞术+MTX灌注术后,借助B超监测,再行刮宫术,是治疗剖宫产切口妊娠的有效方法。
Objective： To evaluate the diagnosis and efficient treatment for the patients with Caesarean Scar Pregnancies （CSP）. Methods： A retrospective study about 30 cases who were diagnosed with caesarean scar pregnancy （CSP） in our hospital from February 2010 to February 2012 was conducted. Results： Among all the enrolled patients, 25 subjects were offered prophylactic uterine artery em- bolization （UAE） and methotrexate （MTX） prior to uterine suction curettage that lead to the success of operation, and there were no inci- dence of complication or adverse reactions. Another five patients who were referred from other hospitals for the uncontrollable massive hemorrhage when taking the uterine suction curettage which was resulted from the initial misleading diagnosis. Four of the five patients were taken UAE to control the vaginal hemorrhage, but another one were proceeded immediately to hysterectomy. Conclusions： It is sug- gested that the method of uterine artery embolization curettage combined with methotrexate under the monitoring of ultrasound could be an effective treatment for caesarean scar pregnancy.
出处
《现代生物医学进展》
CAS
2013年第24期4763-4766,共4页
Progress in Modern Biomedicine
基金
国家临床重点专科项目提供基金支持
