摘要
目的:研究宫腔镜联合子宫动脉栓塞术治疗内生型瘢痕处妊娠的疗效分析。方法:选取2014年1月至2018年6月在本院住院的46例内生型瘢痕处妊娠患者,入院后均行双侧子宫动脉栓塞术,其中12例行宫腔镜下病灶电切术,34例行B超引导下清宫术,对比两组患者的手术时间、术中出血量、住院时间、住院费用及术后血绒毛膜促性腺激素(HCG)恢复正常时间。结果:宫腔镜联合子宫动脉栓塞组与清宫联合子宫动脉栓塞组相比,术后血HCG转阴时间及住院时间均缩短,两者差异有统计学意义(P<0.05),两者在住院费用上无统计学差异。结论:瘢痕处妊娠患者易出现术中大出血,手术风险大,术前行子宫动脉栓塞术可明显降低出血风险,宫腔镜手术能缩短住院时间,治愈率高,避免二次手术,保留患者的生育能力。
Objective:To explore the comparison between two treatment regimens after uterine artery embolization. Methods: Total of 45 patients with pregnancy scar were collected in January 2014 to January 2018. After admission in the hospital,bilateral uterine artery embolization was performed.11 underwent lesion under hysteroscopy electricity cut method,and 34 underwent ultrasound guided by uterine curettage. Intraoperative bleeding, operation time,postoperative blood human chorionic gonadotropin(HCG) returned to normal time, length of hospital stay and hospitalization expenses, etc between the two groups were compared. Results: There was statistically significant difference between the inpatient time and the hospitalization time of HCG(P < 0.05) in the patients with hysteroscopy group compared with those in the uterine curettage group(P < 0.05), and there was no statistical difference in the hospitalization expenses.Conclusion:Scar in pregnancy patients prone to bleeding, high risk of operation, the preoperative uterine artery embolization may reduce the risk of bleeding, hysteroscopy surgery could shorten the length of hospital stay, cure rate is high, avoid secondary operation, keep the patient’s fertility.
作者
张阳
叶佳
张俊
吕蓓
张金伟
Zhang Yang;Ye Jia;Zhang Jun;LV Bei;Zhang Jinwei(Wuxi People's Hosptial Affiliated to Nanjing Medical University,Wuxi, Jiangsu 214020)
出处
《中外女性健康研究》
2019年第6期1-2,65,共3页
Women＇s Health Research
基金
无锡市卫生计生委科研项目资助(Q210709)
无锡市卫生计生委妇幼健康项目(FYKY201705)
无锡市卫生计生委妇幼健康科研项目(FYKY201807)
关键词
剖宫产瘢痕部位妊娠
子宫动脉栓塞术
宫腔镜
Caesarean scar pregnancy (CSP)
Uterine artery embolization (UAE)
Hysteroscope
