摘要
目的：探讨子宫动脉栓塞治疗剖宫产瘢痕妊娠（ CSP）的临床疗效及结局。方法对2011年4月至2013年8月于本院诊断CSP 22例,行子宫动脉栓塞术,术后24～48小时于B超监视下行清宫术的情况进行回顾性分析。结果22例CSP患者行子宫动脉栓塞术,其中20例患者栓塞后于B超引导下行清宫术,手术顺利,术中出血10～80ml,2例外院转院患者阴道出血明显减少,所有患者均保留子宫。术后5例（22.72%）患者有轻微下腹胀痛,3例（13.63%）患者于术后48小时内出现低热,无严重并发症发生。术后血β-HCG恢复正常时间3～7周,月经恢复时间5～16周。结论 B超检查是诊断CSP简便方法,子宫动脉栓塞联合B超监视下清宫术治疗CSP是一种安全、可靠的治疗方法,保证了CSP患者的医疗安全。保留了患者生育功能,同时减少了并发症的发生,提高了患者的生存质量。
Objective To evaluate clinical efficacy and the outcome of treatment cesarean scar pregnancy （ CSP） with uterine artery embolization. Method A retrospective analysis of 22 patients diagnosed with CSP in our hospital re-ceived uterine artery embolization and ultrasound guided curettage treatment 24-48 hours later. Result UAE were performed on all the 22 patients, 20 patients received ultrasound guided curettage. All the progress was successful, hemorrhage during curettage range between 10 to 80 ml, vaginal bleeding in 2 referral patients from other hospital reduced significantly, and all patients’ uterus were retained. 5 patients （22. 72%） had mild abdominal pain and 3 patients （13. 63%） had fever within 48 hours after curettage, no serious complications happen in all the patients. Postoperative blood β-HCG returned to normal form 3 to 7 weeks later, and menstruation recovery from 5 to 16 weeks later. Conclusion Ultrasound is an easy way to diagnose CSP. Treatments cesarean scar pregnancy with com-bine uterine artery embolization combined with curettage under ultrasound is safe and effectively. It’ ll improve the patients’ safety and was helpful on retained patients’ fertility. Incidence of complications would be reduced and the patients’ life quality of would improve with this treatment strategies.
出处
《中国医刊》
CAS
2014年第9期53-55,共3页
Chinese Journal of Medicine
关键词
剖宫产瘢痕妊娠
子宫动脉栓塞
B超
Cesarean scar pregnancy
Uterine artery embolization
B-ultrasonic
