摘要
目的回顾性研究腹主动脉球囊阻断预处理治疗Ⅲ型剖宫产术后子宫瘢痕妊娠(CSP)的临床效果及安全性。方法选取2019年1月至2021年12月就诊于江西省妇幼保健院经阴道超声或MRI确诊为Ⅲ型CSP的54例患者作为研究对象,按照预处理方案不同分为实验组(26例)及对照组(28例)。实验组先行腹主动脉球囊阻断预处理再行腹腔镜下子宫瘢痕妊娠病灶清除术,对照组先行高强度聚焦超声(HIFU)预处理再行腹腔镜下子宫瘢痕妊娠病灶清除术。比较两组的术中出血量、手术时间、术后肛门排气时间、住院费用、住院时间及月经复潮时间等。结果两组患者的手术时间、术后肛门排气时间、住院天数及费用、月经复潮时间比较,差异均无统计学意义(P>0.05);实验组的术中出血量少于对照组,差异有统计学意义(P<0.05)。结论术前行腹主动脉球囊阻断预处理可以明显降低Ⅲ型子宫瘢痕妊娠术中的出血量,是一种安全、有效的预处理方法,可以最大程度地保留子宫,保存生育功能。
Objective To retrospectively study the clinical efficacy and safety of abdominal aorta balloon occlusion pretreatment in the treatment of typeⅢcesarean scar pregnancy(CSP).Methods From January 2019 to December 2021,54 patients with typeⅢCSP diagnosed by transvaginal ultrasound or MRI in Maternal and Child Health Care Hospital of Jiangxi Province were selected as the research objects.According to different pretreatment methods,they were divided into the experimental group(26 cases)and the control group(28 cases).The experimental group was pretreated with abdominal aorta balloon occlusion,and then underwent laparoscopic scar pregnancy excision.The control group were pretreated with high intensity focused ultrasound(HIFU)before laparoscopic scar pregnancy excision.The amount of intraoperative bleeding,operation time,postoperative anal exhaust time,hospitalization expenses,hospitalization time and menstrual rehydration time were compared between the two groups.Results There was no significant differences in operation time,postoperative anal exhaust time,hospitalization time and hospitalization expenses,menstrual rehydration time between the two groups(P>0.05).The amount of intraoperative bleeding in the experimental group was less than that in the control group,the difference was statistically significant(P<0.05).Conclusion Before operation,abdominal aortic balloon occlusion pretreatment can significantly reduce the amount of intraoperative bleeding of typeⅢuterine scar pregnancy.It is a safe and effective pretreatment method,which can preserve the uterus to the greatest extent and preserve the reproductive function.
作者
熊夏思
XIONG Xiasi(Department of Gynecology,Maternal and Child Health Care Hospital of Jiangxi Province,Nanchang 330006,China)
出处
《中国当代医药》
CAS
2022年第20期105-108,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202211133)。
关键词
Ⅲ型子宫瘢痕妊娠
预处理
腹主动脉球囊阻断术
高强度聚焦超声
TypeⅢcesarean scar pregnancy
Pretreatment
Abdominal aorta balloon occlusion
High intensity focused ultrasound
