摘要
目的探索子宫动脉化疗栓塞术对剖宫产瘢痕妊娠患者卵巢功能的疗效。方法选取2016年10月21日-2017年10月21日期间河南科技大学第一附属医院剖宫产瘢痕妊娠100例患者(实施信封随机分组模式),对照组的50例患者进行甲氨蝶呤+宫腔镜下清宫术治疗,观察组的50例患者进行子宫动脉化疗栓塞术+宫腔镜下清宫术治疗。结果观察组患者手术时间(12.98±1.62)min、术中出血量(89.86±5.62)ml、E2(157.85±5.62)pmol/L、LH(7.85±1.58)U/L、FSH(10.45±1.52)U/L、P(3.85±0.42)nmol/L优于对照组(P<0.05),并发症发生率(2.00%)、子宫切除率低于对照组(P<0.05)。结论对剖宫产瘢痕妊娠患者实施子宫动脉化疗栓塞术治疗效果显著,可改善卵巢功能。
Objective To explore the effect of uterine artery chemoembolization on ovarian function in patients with cesarean scar pregnancy.Methods 100 cases of caesarean scar pregnancy in the hospital from October 21,2016 to October 21,2017 were selected.50 patients in the control group were treated with methotrexate+hysteroscopic hysteroscopy,and 50 patients in the observation group were treated with uterine arterial chemoembolization plus hysteroscopic hysteroscopy.Result The operative time(12.98±1.62)min,intraoperative bleeding(89.86±5.62)ml,E2(157.85±5.62)pmol/L,LH(7.85±1.58)U/L,FSH(10.45±1.52)U/L,P(3.85±0.42)nmol/L were superior to the control group in the observation group(P<0.05).The incidence of complications(2.00%)and hysterectomy rate were lower than those in the control group(P<0.05).Conclusion Uterine artery chemoembolization for cesarean scar pregnancy is effective and can improve ovarian function.
作者
史云
王爱红
金灿辉
王盈
程晓琳
SHI Yun;WANG Ai-hong;JIN Can-Hui(Department of Obstetrics and Gynecology,First Affiliated Hospital of Henan University of Science and Technology,Luovang,Henan,471003,China)
出处
《黑龙江医学》
2020年第1期53-55,共3页
Heilongjiang Medical Journal
关键词
子宫动脉化疗栓塞术
剖宫产
瘢痕妊娠
卵巢功能
疗效
Uterine artery chemoembolization
Cesarean section
Scar pregnancy
Ovarian function
Curative effect
