负压吸宫术治疗剖宫产瘢痕部位妊娠69例临床分析

发布时间：2018-07-14 10:38

【摘要】：目的探讨负压吸宫术治疗剖宫产瘢痕部位妊娠(CSP)的可行性。方法回顾性分析2013年1月-2016年6月于该院住院治疗且采用负压吸宫术治疗的69例CSP患者的临床资料,手术顺利为吸宫成功组(57例),术中出血多、纱布宫腔填塞、肌肉注射欣母沛或放置Foley氏球囊尿管、无效则中转开腹手术或介入术,为吸宫失败组(12例);分析两组患者临床疗效及临床预后。结果 69例患者中有57例患者治疗成功,吸宫成功组中瘢痕处有残留者27例;负压吸宫术治疗CSP的成功率约为82.6%,失败率为17.4%。结论停经时间短是负压吸宫术成功治疗CSP的关键,减少介入手术或外科手术等多重医源性伤害,减轻患者的心理压力及经济负担,但要避免盲目吸宫;需要做好CSP的三级预防。
[Abstract]:Objective to explore the feasibility of negative pressure uterine suction for cesarean scar pregnancy (CSP). Methods the clinical data of 69 CSP patients who were hospitalized in our hospital from January 2013 to June 2016 were analyzed retrospectively. The patients who received intramuscular injection of Xinmupai or placed Foley's balloon urinary catheter were converted to open surgery or interventional surgery (12 cases). The clinical effect and prognosis of the two groups were analyzed. Results 57 of 69 patients were successfully treated, 27 of them had residual scar in the successful uterine suction group, and the success rate of the treatment of CSP was about 82.6, and the failure rate was 17.4%. Conclusion the short period of menopause is the key to the successful treatment of CSP by negative pressure aspiration, reducing multiple iatrogenic injuries such as interventional surgery or surgery, reducing the psychological pressure and economic burden of patients, but avoiding blind aspiration, and the third level prevention of CSP should be done well.
【作者单位】：山西医科大学;
【分类号】：R713.8

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