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子宫动脉化疗栓塞术联合刮宫术治疗剖宫产瘢痕妊娠的临床疗效 被引量:7

Therapeutic effect of uterine artery chemoembolization combined with curettage in treatment of cesarean scar pregnancy
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摘要 目的探讨子宫动脉化疗栓塞术联合刮宫术治疗剖宫产瘢痕妊娠(CSP)的可行性和安全性。方法将82例CSP患者分为2组:A组39例,行氨甲蝶呤+刮宫术;B组43例,行子宫动脉化疗栓塞术+刮宫术。比较2组刮宫术成功率、术中出血量、β-HCG下降至正常的时间、住院时间及术后6个月性激素水平和月经周期恢复时间等。结果 A组中4例因无法控制的急性阴道出血而终止刮宫术,对其中2例行子宫切除手术,2例行子宫动脉栓塞术止血。B组无子宫切除患者。刮宫术成功率、术中出血量、β-HCG下降至正常的时间、住院时间在两组间差异均有统计学意义(P均<0.05),但术后6个月性激素水平和月经周期恢复时间组间差异无统计学意义(P均>0.05)。结论子宫动脉化疗栓塞术联合刮宫术治疗CSP安全、有效,可明显降低子宫切除风险。 Objective To observe the feasibility and safety of uterine artery chemoembo!ization (UACE) combined with dilatation and curettage in treatment of cesarean scar pregnancy (CSP). Methods A total of 82 patients with CSP were en- rolled and divided into group A (n=39) and group B (n=43). Patients in group A received methotrexate+curettage, and patients in group B received additional UACE+curettage. The success rate of operation, the blood loss during operation, the time taken for ~l-human chorionic gonadotrophin ({^-HCG) level going down to normal, the hospitalization days, the menstrual situation and sex hormone level after operation six months were compared between two groups. Results In group A, 2 patients had to receive hysterectomy, and 2 patients had to receive uterine artery chemoembolization due to massive hemorrhage. No patient in group B needed to undergo hysterectomy. The success rate of operation, the blood loss during the operation, the time taken for β-HCG level going down to normal, the hospitalization days were statistically dif- ferent (all P〈0.05), but no significant difference of menstrual situation and sex hormone level after operation 6 months was found between the two groups (all P〈0.05). Conclusion UACE combined with curettage is safe and effective for the treatment of cesarean scar pregnancy, being helpful to avoid ureterectomy.
出处 《中国介入影像与治疗学》 CSCD 2014年第1期15-18,共4页 Chinese Journal of Interventional Imaging and Therapy
关键词 剖宫产瘢痕妊娠 栓塞 治疗性 刮宫术 Cesarean scar pregnancy~ Embolization, therapeutic~ Dilatation and curettage
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参考文献7

  • 1Larsen JV, Solomon MH. Pregnancy in a uterine scar sacculus—an unusual cause of postabortal haemorrhage. A case report. SAfr Med J, 1978,53(4):142-143.
  • 2Seow KM, Huang LW, Lin YH, et al. Cesarean scar pregnancy:Issues in management. Ultrasound Obstet Gynecol, 2004, 23(3):247-253.
  • 3Boulleret C, Chahid T, Gallot D,et al. Hypogastric arterial se-lective and superselective embolization for severe postpartum hem-orrhage: A retrospective review of 36 cases. Cardiovasc InterventRadiol, 27(4):344-348.
  • 4周慷,李晓光,金征宇,张晓波,石海峰,孙昊,王志伟.清宫术前子宫动脉化疗栓塞术治疗瘢痕妊娠的疗效分析[J].介入放射学杂志,2012,21(3):190-193. 被引量:26
  • 5周坦洋,曹海利,白彬.子宫动脉化疗栓塞术治疗剖宫产瘢痕妊娠.中国介人影像与治疗学,2012,9(4) :258-261.
  • 6Nawroth F, Foth D, Wilhelm L, et al. Conservative treatment ofectopic pregnancy in a cesarean section scar with methotrexate: Acase report. Eur J Obstet Gynecol Reprod Biol, 2001, 99(1) : 135-137.
  • 7Cheng PJ, Chueh HY,Soong YK. Sonographic diagnosis of auterine defect in a pregnancy at 6 weeks* gestation with a historyof curettage. Ultrasound Obstet Gynecol, 2003, 21(5) :501-503.

二级参考文献9

  • 1Larsen JV,Solomon MH.Pregnancy in a uterine soar sacculusan unusual cause of postabortal haemorrhage.A ease report[J].S Afr Med J,1978,53:142- 143.
  • 2Seow KM,Huang f.W,Lin YH,et al.Cesarean soar pregnancy: issues in management[J],Ultrasound Obstet Gynecol,2004, 23:247 -253.
  • 3Mckenna DA,Poder L,Goldman M,et al.Role of sonography in the recognition,assessment,and treatment of cesarean scar ectopic pregnancies[J].J Ultrasound Med,2008,27:779 - 783.
  • 4Maymon R,Halperin R,Mendlovic S,et al.Ectopic pregnancies in a Caesarean scar:review of the medical approach to an iatrogenic complication[J].Hum Reprod Update,2004,10: 515 -523.
  • 5Cheng PJ,Chueh HY,Soong YK.Sonographic diagnosis of a uterine defect in a pregnancy at 6 weeks' gestation with a history of curettage[J].Ultrasound Obstet Gynecol,2003,21:501 - 503.
  • 6Rotas MA,Haberman S,Levgur M,et al.Cesarean scar ectopic pregnancies:etiology,diagnosis,and management[J].Obstet Gynecol,2006,107:1373 - 1381.
  • 7Nawroth F,Foth D,Wilhelm L,et al.Conservative treatment of ectopic pregnancy in a cesarean section scar with methotrexate: a case report[J].Eur J Obstet Gynecol Reprod Biol,2001,99: 135 - 137.
  • 8Hois EL,Hibbeln JF,Alonzo MJ,et al.Ectopic pregnancy in a cesarean section scar treated with intramuscular methotrexate and bilateral uterine artery embolization[J].J Clin Ultrasound, 2008,36:123 - 127.
  • 9张国福,王添平,谷守欣,韩志刚,张娣,田晓梅,王雪珍,于菲,黄紫蓉.子宫动脉化疗栓塞在剖宫产切口瘢痕妊娠中的应用研究[J].介入放射学杂志,2010,19(12):936-939. 被引量:80

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