摘要
目的:分析子宫动脉化疗栓塞(UACE)联合清宫术治疗剖宫产瘢痕部位妊娠(CSP)后的再妊娠结局。方法:对2010年1月—2014年4月本院收治的96例UACE联合清宫术治疗的CSP患者随访并对其再妊娠结局进行分析。结果:随访时间为(43.8±12.6)月,随访时间内有7例失访。有再生育需求的25例中20例自然妊娠24次,妊娠中包括6例复发性CSP,8例足月分娩女性围产期均未发生前置胎盘、胎盘植入、子宫破裂及产后出血。结论:经UACE联合清宫术治疗后的CSP育龄女性拥有再次妊娠的机会,再妊娠结局包括宫内妊娠、稽留流产和CSP复发。妊娠至晚期的女性围产期结局总体良好。
Objective：To analyze the pregnancy outcomes of women pregnancy again after uterine artery chemoembolization（UACE）combined with dilation and curettage（DC）for treating cesarean scar pregnancy（CSP）.Methods：From January 2010 to April 2014,a total of 96 pregnant women who had treated by UACE combined with DC because of CSP were included and followed up,and their outcomes of pregnancy again were analyzed.Results：The average time of followed up of all women were 43.8±12.6 months.7 pregnant women among them had lost of follow-up.In 25 women with wanted pregnancy,20 women had 24 times of spontaneous pregnancy.And in these spontaneous pregnancies,there was 6 women experienced repeated CSP（RCSP）,and other 8 women had live term deliveries without the presence of placenta previa,placenta accreta,uterine rupture,or postpartum hemorrhage in the perinatal period.Conclusion：The reproductive women have the opportunity to conceive normally after UACE combined with DC used to treat previous CSP.The subsequent pregnancy again includes intrauterine normal pregnancy,missed abortion and RCSP.If the pregnancy keeps to the third trimester,the overall perinatal outcomes were favorable.
作者
魏丽坤
赵明飞
穆荣梅
薛凤霞
WEI Likun;ZHAO Mingfei;MU Rongmei;XUE Fengxia(General Hospital of Tianjin Medical University,Tianjin,30005)
出处
《中国计划生育学杂志》
2018年第7期588-591,共4页
Chinese Journal of Family Planning
关键词
剖宫产瘢痕部位妊娠
子宫动脉化疗栓塞
清宫术
妊娠结局
复发性剖宫产瘢痕部位妊娠
Cesarean scar pregnancy
Uterine artery chemoembolization
Dilation and curettage（D＆C）
Pregnancy outcomes
Repeated cesarean scar pregnancy
