摘要
目的:比较经阴道子宫瘢痕部妊娠病灶切除术及子宫动脉介入(UAE)后刮宫术治疗子宫瘢痕部妊娠的临床效果。方法:回顾性分析2015年7月—2017年6月本院收治的50例诊断为子宫瘢痕部位妊娠患者的临床资料,其中经阴道手术治疗组23例,UAE后刮宫27例。结果:50例患者均手术成功,阴道手术组术后腹痛发生率(21.7%)低于UAE后刮宫组(89.2%);住院费用(16 101.9±5500.6元)低于UAE后刮宫组(20 124.5±2200.6元)。在术后血β?hCG下降、月经恢复时间等两组无差异;在随访过程中,UAE后刮宫组中有1例出现闭经,另有1例在术后6月再次出现子宫瘢痕妊娠。结论:经阴道子宫瘢痕妊娠病灶切除术可以有效治疗子宫瘢痕部妊娠,与UAE后刮宫相比具有术后疼痛少,治疗费用低等优点。
Objective To compare the clinic effect of transvaginal hysterotomy and uterine curettage after uterine artery embolization （UAE） for treating patients with cesarean scar pregnancy （CSP）. Methods： The clinical data of 50 patients with CSP in Shanghai first maternity and infant hospital from July 2015 to Jun 2017 were retrospectively analyzed in this study. 23 patients treated by transvaginal hysterotomy were in transvaginal surgery group, and 27 patients received uterine curettage after UAE were in UAE group. The clinical information on these patients and clinical outcomes were reviewed and compared. Results： All the 50 patients were treated successfully. The incidence of postoperative abdominal pain of patients in transvaginal surgery group （21.7%） was significant lower than that of patients in UAE group （89.2%）. The cost of hospitalization （16101.9±5500.6 yuan） of patients in transvaginal surgery group was also significant lower than that of patients in UAE group （20124.5±2200.6 yuan）. There were no significant difference in decrease of blood hCG postoperation and menstrual recovery time between the two groups. During the followed up, there was 1 cases of amenorrhea in the UAE group, and another 1 cases in UAE group had CSP again after 6 months. Conclusion： Transvaginal hysterectomy for treating patients with CSP has perfect effectiveness. Compared with uterine curettage after UAE, it has less postoperative pain, and the treatment costs is lower.
作者
王蓓颖
盛青菁
李晓翠
WANG Beiying;SHENG Qingjing;LI Xiaocui(The First Maternity ＆ Infant Hospital affiliated with Tongji University,Shanghai,201204)
出处
《中国计划生育学杂志》
2018年第11期1119-1122,共4页
Chinese Journal of Family Planning
基金
上海市卫生和计划生育委员会(编号:201540364)
