超声介入下注射聚桂醇在治疗剖宫产瘢痕妊娠61例中的应用

发布时间：2018-01-22 06:46

本文关键词： 剖宫产瘢痕妊娠超声介入聚桂醇胚囊清除术清宫术　出处：《实用妇产科杂志》2015年02期 　论文类型：期刊论文

【摘要】：目的:探讨在超声介入下注入聚氧乙烯月桂醇醚(聚桂醇)硬化剂治疗剖宫产瘢痕妊娠(CSP)的应用价值。方法:对61例超声分级诊断符合0~2级的CSP患者行超声介入下在子宫瘢痕切口周围注射聚桂醇硬化剂,术后3~20小时内行胚囊清除术联合清宫术,观察术中、术后及并发症情况。结果:61例CSP患者均成功注射聚桂醇,操作历时10~20分钟,在胚囊清除术联合清宫术时均无大出血发生。术中、术后无发热,无疼痛,平均住院费用3660元,平均住院天数2.7天,血β-HCG水平降至正常平均时间22天,术后平均27.8天月经恢复正常。结论:超声介入下注射聚桂醇硬化剂治疗CSP是一种安全、有效、操作简便、易于被接受,值得推广的方法。
[Abstract]:Objective: to investigate the effect of polyoxyethylene laurol ether (polyoxyethylene laurol ether) sclerosing agent on cesarean section scar pregnancy (CSP). Methods: 61 CSP patients who were diagnosed by ultrasound grade 2 were injected with polycinnamol sclerosing agent around the incision of uterine scar under ultrasound intervention. Embryo sac clearance combined with hysteroscopy were performed within 3 to 20 hours after operation, and the intraoperative, postoperative and complications were observed. Results all 61 cases of CSP were successfully injected with polycinnamol, which lasted 10 minutes and 20 minutes. There was no major hemorrhage during embryo sac clearance combined with hysteroscopy. There was no fever and no pain during the operation. The average hospitalization cost was 3660 yuan, and the average hospital stay was 2.7 days. Serum 尾 -HCG level decreased to normal for 22 days, and menstruation returned to normal on average 27.8 days after operation. Conclusion: it is safe and effective to inject polycinnamol sclerosing agent under ultrasound intervention in the treatment of CSP. The method is simple, easy to be accepted and worth popularizing.
【作者单位】：浙江萧山医院;
【分类号】：R714.22
【正文快照】： 剖宫产瘢痕妊娠(caesarean scar pregnancy,CSP)是一种少见的异位妊娠,如未及时诊治,随着妊娠的进展,绒毛与子宫肌层粘连、植入,严重者可穿透子宫造成大出血或子宫破裂。近年来,随着剖宫产的增加,CSP的发生率明显增加,且年龄趋于年轻化。目前对于CSP的治疗各国均处于探索之中,

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