中国临床医学Issue(2)：202-204,3.
血管介入治疗剖宫产术后子宫瘢痕妊娠的疗效评价
Efficacy Evaluation of Vascular Intervention in Adjuvant Treatment of Uterine Scar Pregnancy after Cesarean Section
李霞 1孙贺 2计月华 3卢双顺 4马彩萍5
作者信息
- 1. 河北省唐山市丰南区医院妇产科，河北唐山 063300
- 2. 河北省唐山市丰南区疾病预防控制中心慢性病防治科，河北唐山 063300
- 3. 河北省唐山市丰南区妇幼保健院妇产科，河北唐山 063300
- 4. 河北省唐山市丰南区医院放射科，河北唐山 063300
- 5. 天津医科大学中心妇产科临床学院妇产科，天津 300000
- 折叠
摘要
Abstract
Objective:To observe the clinical efficacy of vascular intervention in the treatment of uterine scar pregnancy after cesarean section .Methods:A total of 50 patients with uterine scar pregnancy after cesarean section were selected and randomly divided into observation group and control group ,with 25 patients in each group .The patients in the control group were treated with dilatation and curettage , while the patients in the observation group were treated with uterine artery embolization combined with curettage with methotrexate .After treatment ,the clinical efficacy ,the blood loss ,the time of serum β‐human chorionic gonadotropin (β‐HCG) returning to normal level ,the time of endo‐uterine mass disappearing ,the patient's hospital stay and adverse effects ,were compared between the patients in the two groups .Results:The cure rate of patients in the observation group (100% ) was significantly higher than that (64% ) in the control group(P<0 .05);the blood loss (47 .1 ± 14 .2)mL ,the time of endo‐uterine mass disappearing (23 .6 ± 23 .7) d and hospital stay (13 .2 ± 4 .3) d of patients in the observation group were significantly lower than those in the control group [(322 .1 ± 105 .2) mL ,(80 .4 ± 78 .3) d ,(20 .1 ± 7 . 8)d ,P<0 .05)];there was no occurrence of severe complications in the two groups .Conclusions:Vascular intervention in the treatment of uterine scar pregnancy after cesarean section can effectively kill the embryo tissues ,reduce the blood loss ,and retaln the womb as well as the fertility .关键词
剖宫产术/子宫瘢痕妊娠/介入治疗Key words
Cesarean section/U terine scar pregnancy/Intervention分类
医药卫生引用本文复制引用
李霞,孙贺,计月华,卢双顺,马彩萍..血管介入治疗剖宫产术后子宫瘢痕妊娠的疗效评价[J].中国临床医学,2015,(2):202-204,3.
