摘要
目的探讨子宫动脉栓塞术(UAE)联合超声引导下清宫术治疗Ⅱ型、Ⅲ型子宫瘢痕妊娠(CSP)的临床效果。方法回顾性分析我院收治的90例CSP患者的临床资料,根据术前阴道彩超表现将患者分为Ⅱ型组和Ⅲ型组。2组患者均行UAE联合超声引导下清宫术治疗。比较分析2组患者术中及术后情况。结果Ⅱ型组的治愈率(92.5%)高于Ⅲ型组(65.2%),Ⅱ型组患者术中阴道出血量、术后血清β-hCG转阴时间、术后病灶消退时间均少/短于Ⅲ型组,差异有统计学意义(P<0.05);2组患者住院时间及月经复潮时间比较,差异无统计学意义(P>0.05)。结论对于孕周8~10周的Ⅱ型CSP患者,UAE联合超声引导下清宫术的治疗效果理想,可作为推荐的治疗方案。但对于Ⅲ型CSP患者,UAE联合超声引导下清宫术的治愈率较低,应考虑患者具体情况及当地医疗水平等综合选择。
Objective To evaluate the efficacy of uterine artery embolization(UAE)combined with ultrasound-guided curettage in the treatment of typeⅡand typeⅢcaesarean scar pregnancy(CSP).Methods The clinical data of 90 patient with CSP in our hospital were analyzed retrospectively,the patients were divided into typeⅡgroup and typeⅢgroup according to preoperative vaginal color Doppler ultrasound.Patients in both groups were treated with UAE combined with ultrasound-guided curettage.The intraoperative and postoperative conditions of patients between the two groups were compared and analyzed.Results The cure rate of typeⅡgroup(92.5%)was higher than that of typeⅢgroup(65.2%),the intraoperative blood loss,time of postoperative serumβ-hCG turned negative,postoperative mass disappearance time of patients in typeⅡgroup were less/shorter than those in typeⅢgroup,the differences were statistically significant(P<0.05);there was no statistical difference in length of hospitalization or time to menstruation recovery of patients between the two groups(P>0.05).Conclusion UAE combined with ultrasound-guided curettage is ideal for patients with typeⅡCSP at 8 to 10 weeks of gestation,and can be used as a recommended treatment.However,the cure rate of this method for typeⅢCSP is low,the comprehensive choice should be considered,including the specific situation of the patient and the local medical level.
作者
王文珍
魏凌云
温亚玲
刘小春
WANG Wen-zhen;WEI Ling-yun;WEN Ya-ling;LIU Xiao-chun(Department of Obstetrics and Gynecology,Shanxi Bethune Hospital(Shanxi Academy of Medical Science)/Tongji Shanxi Hospital/Third Hospital of Shanxi Medical University,Taiyuan Shanxi 030032,China)
出处
《局解手术学杂志》
2024年第8期689-692,共4页
Journal of Regional Anatomy and Operative Surgery
基金
国家自然科学基金面上项目(81971365)
山西省回国留学人员科研教研资助项目(HGKY2019095)
山西省留学人员科技活动择优资助(20200007)。
关键词
子宫瘢痕妊娠
子宫动脉栓塞术
超声引导下清宫术
经阴道超声
cesarean scar pregnancy
uterine artery embolization
ultrasound-guided curettage
transvaginal color Doppler ultrasound
