介入治疗联合清宫术治疗123例剖宫产瘢痕妊娠的疗效评价及临床研究

发布时间：2018-01-14 18:30

  本文关键词：介入治疗联合清宫术治疗123例剖宫产瘢痕妊娠的疗效评价及临床研究　出处：《实用妇产科杂志》2015年05期 　论文类型：期刊论文

  更多相关文章： 剖宫产瘢痕妊娠 介入治疗 清宫术

【摘要】：目的:评估介入治疗联合清宫术治疗剖宫产瘢痕妊娠(CSP)的安全性及有效性,为合理运用介入技术治疗CSP提供临床依据。方法:选择于我院行介入治疗联合清宫术的CSP 123例,以介入治疗前后血β-HCG及超声影像学变化情况评价介入治疗疗效;并随机将纳入病例分为A组(n=72,介入术后5天内清宫)和B组(n=51,介入术后5天以后清宫),比较两组病例清宫术中大出血(出血量≥200 ml)发生率、住院时间等临床结局。结果:123例纳入病例中,介入治疗48小时后血β-HCG开始下降的比例72.4%(89/123);胎心搏动消失率69.1%(38/55);切口处血流信号缓解率75.6%(59/78);清宫术中大出血发生率13.8%(17/123);住院时间平均8.3±2.9天。B组清宫术中大出血发生率及住院时间明显高于A组,P均0.05。结论:介入治疗能有效降低CSP组织活性、减少切口处血供,有助于增加清宫术中安全性。在介入治疗联合清宫术治疗CSP中,介入治疗与清宫术时间间隔的延长可能增加清宫术中出血风险。
[Abstract]:Objective: to evaluate the safety and efficacy of interventional therapy combined with uterine clearance in the treatment of cesarean scar pregnancy. Methods: 123 cases of CSP who were treated with interventional therapy combined with uterine clearing in our hospital were selected to provide the clinical basis for the rational use of interventional technique in the treatment of CSP. The effect of interventional therapy was evaluated by the changes of blood 尾 -HCG and ultrasound imaging before and after interventional therapy. The patients were randomly divided into group A (n = 72) and group B (n = 51). The incidence of massive hemorrhage (bleeding volume 鈮，

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