摘要
目的：探讨剖宫产子宫瘢痕妊娠（CSP）经双侧子宫动脉灌注化疗后的最佳清宫时间。方法：CSP患者151例，介入治疗后1～2d清宫33例为1～2d组，3～4d清官50例为3～4d组，5～7d清官68例为5～7d组。比较3组清官术中出血量、清宫术前血β—hCG下降程度、月经恢复时间、血β—hCG降至正常时间和瘢痕部位残留病灶消失时间。结果：3组清宫术中出血量、血β—hCG恢复正常时间和残留病灶消失时间均无统计学差异（P〉0．05）。5～7d组术后血β～hCG下降程度最大（P〈0．01）；住院时间最长（P〈0．01）；月经恢复时间最长（P〈0．01）。结论：CSP介入治疗后2d内清宫可以缩短患者住院时间，促进月经及早恢复，且不增加清宫术中出血量和瘢痕部位残留病灶消失时间。
Objective.. The optimal time of dilatation and curettage （D＆C） subsequent to uterine artery chemoembolization （UACE） in Patients with cesarean scar pregnancy （CSP） is not clear. This study aimed to explore effectiveness and safety of different D＆C time after UACE. Methods.. A total of 151 patients were enrolled, and who were divided into 3 groups according to the D＆C time, that were33 patients in group A （1-2 days after UACE）, 50 patients in group B （3-4 days after UACE）, and 68 patients in group C （5-7 days after UACE）. the outcomes included The bleeding volume during D＆C, the status of serum β-hCG decreased before D＆C , time of menstruation restoration, time of serum β-hCG returning to normalization, and time of residuals exclusion at cesarean scar. Result： Compared to group A and B, serumβ-hCG decreased significantly in group C （P〈0.01）. There were no significant differences among the three groups in term of bleeding volume, time of serum hCG normalization, and exclusion of residuals （P 〉0.05）. Both the time of hospital stays and time of menstruation restoration were longest in group C （P〈0.001）. Conclusion.. D＆C within two days for patients after UACE should decrease time of hospital stays, improve menstruation restora tion, and should not increase bleeding volume during D＆C or time of residuals remain.
出处
《中国计划生育学杂志》
2015年第9期611-614,共4页
Chinese Journal of Family Planning
关键词
剖宫产瘢痕妊娠
子宫动脉化疗栓塞术
清宫术
cesarean scar pregnancy, uterine artery chemoembolization, dilatation and curettage
