子宫动脉阻断术与子宫动脉栓塞术在剖宫产瘢痕妊娠手术治疗中的应用研究

发布时间：2018-01-17 19:30

本文关键词：子宫动脉阻断术与子宫动脉栓塞术在剖宫产瘢痕妊娠手术治疗中的应用研究　出处：《解放军医药杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨先行子宫动脉阻断术与子宫动脉栓塞术在剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)手术治疗中的应用价值。方法回顾性分析2014年1月—2015年6月诊断为CSP的36例患者,其中24例行腹腔镜下子宫动脉阻断术后行剖宫产瘢痕病灶切除修补术为子宫动脉阻断组,12例行子宫动脉栓塞术后行腹腔镜下剖宫产瘢痕病灶切除修补术为子宫动脉栓塞组。比较两组术中出血量、住院时间以及术后血β-人绒毛膜促性腺激素(β-human chorionic gonadotropin,β-HCG)恢复至正常的时间。结果 36例CSP患者均经手术治疗成功,未发生术中及术后并发症。两组的术中出血量和血β-HCG恢复至正常的时间比较差异均无统计学意义(P0.05);子宫动脉阻断组住院时间较子宫动脉栓塞组短(P0.01)。结论子宫动脉阻断术是CSP手术治疗中的一种安全、有效且较为经济的预处理方法。
[Abstract]:Objective to investigate the effects of uterine artery occlusion and uterine artery embolization on cesarean scar pregnancy in cesarean scar pregnancy. Methods 36 patients with CSP from January 2014 to June 2015 were analyzed retrospectively. 24 cases of uterine artery occlusion under laparoscope underwent cesarean scar resection and repair for uterine artery occlusion group. Twelve cases of uterine artery embolization were treated with laparoscopic caesarean scar resection and repair for uterine artery embolization group, and the amount of intraoperative bleeding was compared between the two groups. Duration of hospitalization and serum 尾 -human chorionic gonadotropin after operation. Results 36 cases of CSP were successfully treated by operation. There were no intraoperative or postoperative complications. There was no significant difference in the amount of intraoperative bleeding and the time of blood 尾 -HCG returning to normal between the two groups (P 0.05). Conclusion uterine artery occlusion is a safe, effective and economical preconditioning method for CSP.
【作者单位】：石家庄市妇幼保健院妇产科;解放军白求恩国际和平医院妇科;宁晋县医院妇产一科;
【基金】：河北省科技厅科技支撑计划(152777105D)
【分类号】：R713.8
【正文快照】： 剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)曾是一种罕见的异位妊娠,发生率较低。但是,随着我国剖宫产率升高,该病发生率逐年增加。主要症状为无痛性阴道出血,如不能及时处理则可能因子宫破裂、大出血等严重威胁妊娠妇女生命。子宫动脉阻断术可用于腹腔镜下大子宫切除手术

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