摘要
目的:评价明胶海绵颗粒和聚乙烯醇颗粒进行栓塞子宫动脉后清宫治疗剖宫产瘢痕妊娠患者的疗效。方法:回顾性分析2015年1月—2016年1月我院介入科收治的52例瘢痕妊娠患者的临床资料,根据介入治疗术中使用栓塞颗粒的不同将其分为两组:明胶海绵颗粒组28例,聚乙烯醇组24例,两组均于介入治疗后行清宫术。比较两组的临床症状改善情况、血β-人绒毛膜促性腺激素(HCG)恢复正常时间、彩色多普勒超声影像学变化、清宫术中出血量等指标。结果:两组患者均成功行介入治疗术,均未发生术中大出血,术后清宫手术顺利,无子宫切除患者。术后无并发症发生。两组瘢痕妊娠患者行介入治疗术后均有效改善临床症状,改善率均为100%。两组患者清宫术中出血量、清宫术后妊娠组织残留发生率、住院时间、血β-HCG值恢复正常时间、孕囊最大直径、切口处最薄肌层厚度、胎心搏动比例、血流信号丰富比例差异均无统计学意义。结论:明胶海绵颗粒和聚乙烯醇颗粒作为栓塞剂治疗瘢痕妊娠的各项近期疗效无明显差异。
Objective:To evaluate the efficacy of gelatin sponge granules and polyvinyl alcohol granules in the treatment of cicatricial pregnancy in cesarean section after uterine artery embolism.Methods:The scar pregnancy clinical data(52 cases)in January 2015-January 2016 in The First Affiliated Hospital of Baotou Medical College were retrospectively analyzed and randomly divided into two groups according to the different embolic particles in interventional therapy,55 cases of gelatin sponge granule group(group A)and 24 cases of polyvinyl alcohol group(group B).Interventional management with subsequent curettage was carried out in all patients of both groups.The clinical symptoms improvement,human chorionic gonadotropin(HCG)recovery time,changes of color Doppler ultrasound imaging,and amount of blood loss during curettage were compared between the two groups.Results:Two groups of patients were successfully involved in interventional therapy,without complications after surgery,and there was no hysterectomy.No complications occurred after the operation.The clinical symptoms in two groups of cicatricial pregnancy patients were effectively improved after interventional therapy,and the improvement rate was 100%.In the two groups,the amount of intraoperative bleeding,incidence of residual pregnancy tissue after operation,time of hospitalization,bloodβ-HCG recovery time,largest diameter of the gestation sac,thinnest muscularis thickness at the incision,ratio of fetal heart beat and rich ratio of blood flow signals had no significant difference.Conclusion:There is no significant difference in the short-term effect of gelatin sponge particles and polyvinyl alcohol particles as embolic agents in the treatment of cicatricial pregnancy.
作者
刘津华
张磊
穆永旭
Liu Jinhua;Zhang Lei;Mu Yongxu(The First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou 014010,China.;Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou 014040,China)
出处
《中华介入放射学电子杂志》
2018年第1期51-54,共4页
Chinese Journal of Interventional Radiology：electronic edition
关键词
明胶海绵
聚乙烯醇
瘢痕妊娠
疗效
Gelatin sponge
Polyvinyl alcohol
Scar pregnancy
Clinical efficacy
