中国妇幼健康研究2016，Vol.27Issue(10)：1198-1200,3.DOI:10.3969/j.issn.1673-5293.2016.10.011
剖宫产瘢痕妊娠保守治疗失败危险因素分析
Risk factors analysis for failure of conservative treatment of caesarean scar pregnancy
摘要
Abstract
Objective To explore the risk factors for failure of conservative treatment of caesarean scar pregnancy ( CSP) .Methods Case control method was used including 53 failed cases in conservative treatment of CSP in case group and 115 successful cases in control group. The data of research objects were collected by using the questionnaire of CSP.Results Single factor analysis showed that number of cesarean section, interval of over 5 years between previous cesarean section production and the pregnancy, menopausal days, ultrasonic classification, the gestational sac or package block size were risk factors for failure of conservative treatment associated with CSP ( OR value was 16.544, 2.284, 2.494, 8.432 and 1.376, respectively, all P<0.05) , while the interval of 2 to 5 years between previous cesarean section and the pregnancy, preoperative serumβ-HCG value were protective factors (OR value was 0.199 and 0.550, respectively, both P<0.05).Multiple factor analysis showed that number of cesarean section and ultrasonic classification were risk factors for failure of conservative treatment associated with CSP (OR value was 16.323 and 8.390, respectively, 95%CI ranged 2.260-20.124 and 3.144-12.947, respectively) , while the interval of 2 to 5 years between previous cesarean section and the pregnancy, and higher preoperative serumβ-HCG value were protective factors (OR value was 0.200 and 0.555,respectively, 95%CI ranged 0.058-0.234 and 0.313-0.657, respecitvley).Conclusion Strict monitor of caesarean birth indication, strengthening ultrasonic diagnosis, regular monitoring bloodβ-HCG value, and reasonable control of interval between pregnancy and cesarean section can reduce the failure rate of conservative treatment of CSP and protect the health and safety of women of childbearing age.关键词
剖宫产瘢痕部位妊娠/保守治疗/危险因素/Logistic回归分析Key words
caesarean scar pregnancy ( CSP)/conservative treatment/risk factors/Logistic regression analysis分类
医药卫生引用本文复制引用
唐莉,郑敏华,李泰康,隗伏冰..剖宫产瘢痕妊娠保守治疗失败危险因素分析[J].中国妇幼健康研究,2016,27(10):1198-1200,3.基金项目
东莞市医疗卫生科技计划一般资助项目(编号:2015105101113) （编号:2015105101113）
