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剖宫产切口瘢痕妊娠分析

叶青剑 邓佩霞 沈晓婷 成娟

中山大学学报(医学科学版)2017,Vol.38Issue(4):596-600,5.
中山大学学报(医学科学版)2017,Vol.38Issue(4):596-600,5.

剖宫产切口瘢痕妊娠分析

Analysis of Cesarean Scar Pregnancy

叶青剑 1邓佩霞 2沈晓婷 3成娟1

作者信息

  • 1. 中山大学附属第三医院妇科,广东广州510630
  • 2. 邵阳市中心医院妇产科,湖南邵阳422000
  • 3. 中山大学附属第一医院生殖科,广东广州510080
  • 折叠

摘要

Abstract

[Objective] To explore the clinical effects of three methods in the treatment of cesarean scar pregnancy.[Method]All the patients with cesarean scar pregnancy accepted treatment at 2 affiliated hospitals of Sun Yat-Sen University from May 2006 to September 2016 were retrospectively analyzed.According to their different therapies,186 of them were divided into three groups:surgery group (undergone transvaginal removal of ectopic pregnancy tissue and repair of uterine defect,73 cases),medical treatment group (treated with medical and combined with curettage,51 cases),UAE group (treated with UAE and combined with suction curettage,62 cases).The success rate,hospitalization time,hospitalization expenses and treatment side effects of the three groups were compared.[Result] The success rates of the three groups were 98.6%,54.9%,and 80.6%;The hospitalization days of the three groups were (7.3 ± 3.3) days,(16.2 ± 11.2) days,(12.6 ± 10.4) d.The hospitalization expenses of the three groups were (7 967 ±1 987) yuan,(5 499-± 1 965) yuan,(15 863 ± 5 941) yuan.The treatment side effects of the three groups were 15.1%,23.5%,and 37.1%.The success rate,hospitalization days,hospitalization expenses and treatment side effects of the three groups were statistically different (P < 0.05).The surgery group has a highest success rate,shortest hospitalization time,lower hospitalization expenses,and less complication.[Conclusions] Transvaginal removal of ectopic pregnancy tissue and repair of uterine defect is a reliable treatment for CSP.

关键词

剖宫产瘢痕部位妊娠/子宫动脉栓塞/经阴道手术

Key words

cesarean scar pregnancy/uterine artery embolization/transvaginal surgery

分类

医药卫生

引用本文复制引用

叶青剑,邓佩霞,沈晓婷,成娟..剖宫产切口瘢痕妊娠分析[J].中山大学学报(医学科学版),2017,38(4):596-600,5.

基金项目

广东省自然科学基金项目(S2013040014613) (S2013040014613)

中山大学学报(医学科学版)

OA北大核心CSCDCSTPCD

1672-3554

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