摘要
目的观察子宫动脉栓塞(UAE)联合宫腔镜病灶切除术治疗剖宫产切口部妊娠(CSP)后再次妊娠及分娩的影响因素。方法选取接受UAE联合宫腔镜病灶切除术治疗的312例CSP患者,根据术后再次妊娠与否分为妊娠组(n=216)和非妊娠组(n=96),再按照分娩与否将妊娠组分为分娩亚组(n=114)和未分娩亚组(n=102);行单因素及多因素分析,观察影响术后再次妊娠及分娩的因素。结果患者年龄、流产次数、距末次剖宫产时间、子宫下段肌壁厚度、阴道出血、合并子宫肌瘤或腺肌症、术后臀部及下肢疼痛麻木、术后月经恢复时间及其变化为再次妊娠的独立影响因素(P均<0.05);年龄、宫腔镜手术时间及术后栓塞后综合征为再次分娩的独立影响因素(P均<0.05)。结论年龄、流产次数、距末次剖宫产时间、子宫下段肌壁厚度、阴道出血、合并子宫肌瘤或腺肌症、术后臀部及下肢疼痛麻木、术后月经恢复时间及其变化均为UAE联合宫腔镜病灶切除术治疗CSP后再次妊娠的影响因素;年龄、宫腔镜手术时间及术后栓塞后综合征为再次分娩的影响因素。
Objective To observe the impact factors of re-pregnancy and delivery after uterine artery embolization(UAE)combined with hysteroscopic lesion excision for treating cesarean scar pregnancy(CSP).Methods Totally 312 CSP patients who underwent UAE combined with hysteroscopic lesion excision were enrolled and divided into pregnancy group(n=216)and non-pregnancy group(n=96)according to whether being pregnant again after treatment,and patients in pregnancy group were further divided into delivery subgroup(n=114)and non-party subgroup(n=102)according to delivered or not.Univariate and multivariate analysis were performed,the impact factors of re-pregnancy and delivery after treatment were analyzed.Results Patients'age,times of abortions,time from the last cesarean section,thickness of lower segment of uterine muscle,vaginal bleeding,uterine fibroids or adenomyosis,postoperative pain and numbness of hip and lower limbs,postoperative menstrual recovery time and its changes were independent impact factors of re-pregnancy(all P<0.05),and patients'age,hysteroscopic operation time and postoperative post-embolization syndrome were independent impact factors of delivery(all P<0.05).Conclusion Patients'age,times of abortions,time from the last cesarean section,thickness of lower segment of uterine muscle,vaginal bleeding,uterine fibroids or adenomyosis,postoperative pain and numbness of hip and lower limbs,postoperative menstrual recovery time and its changes were the impact factors of re-pregnancy after UAE combined with hysteroscopic lesion excision for CSP,while age,hysteroscopic operation time and postoperative post-embolization syndrome were the impact factors of delivery.
作者
孟令乾
宛红娥
刘海燕
刘新华
王君凤
任伟新
MENG Lingqian;WAN Hong'e;LIU Haiyan;LIU Xinhua;WANG Junfeng;REN Weixin(Department of Imaging Intervention,Urumqi Youai Hospital,Urumqi 830000,China;Department of Obstetrics,Urumqi Maternal and Child Health Care Hospital,Urumqi 830000,China;Department of Reproductive Services Technology,Urumqi Maternal and Child Health Care Hospital,Urumqi 830000,China;Department of Interventional Radiology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,China)
出处
《中国介入影像与治疗学》
北大核心
2023年第7期405-409,共5页
Chinese Journal of Interventional Imaging and Therapy
关键词
妊娠
分娩
子宫动脉栓塞术
pregnancy
parturition
uterine artery embolization
