中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
44期
33-33
,共1页
子宫动脉栓塞%宫腔镜清宫术%剖宫产术后子宫瘢痕妊娠
子宮動脈栓塞%宮腔鏡清宮術%剖宮產術後子宮瘢痕妊娠
자궁동맥전새%궁강경청궁술%부궁산술후자궁반흔임신
UAE%Hysteroscopic Curettage%CSP
目的：探讨子宫动脉栓塞联合宫腔镜清宫术在剖宫产术后子宫瘢痕妊娠中的应用效果。方法：选择2010年1月-2013年1月我院收治的46例子宫切口妊娠患者作为本次研究对象，将其随机分为两组，对照组（23例）肌内注射甲氨蝶呤杀死胚胎后直接行清宫术，观察组（23例）则在子宫动脉栓塞后联合宫腔镜清宫术，观察两组的治疗效果。结果：两组手术均顺利实施，观察组的术中出血量、阴道流血时间、血β-HCG转阴时间和并发症发生率均明显好于对照组，差异比较具有统计学意义（p<0.05）。结论：子宫动脉栓塞联合宫腔镜清宫术是治疗剖宫产术后子宫瘢痕妊娠的有效方案，值得临床推广应用。
目的：探討子宮動脈栓塞聯閤宮腔鏡清宮術在剖宮產術後子宮瘢痕妊娠中的應用效果。方法：選擇2010年1月-2013年1月我院收治的46例子宮切口妊娠患者作為本次研究對象，將其隨機分為兩組，對照組（23例）肌內註射甲氨蝶呤殺死胚胎後直接行清宮術，觀察組（23例）則在子宮動脈栓塞後聯閤宮腔鏡清宮術，觀察兩組的治療效果。結果：兩組手術均順利實施，觀察組的術中齣血量、陰道流血時間、血β-HCG轉陰時間和併髮癥髮生率均明顯好于對照組，差異比較具有統計學意義（p<0.05）。結論：子宮動脈栓塞聯閤宮腔鏡清宮術是治療剖宮產術後子宮瘢痕妊娠的有效方案，值得臨床推廣應用。
목적：탐토자궁동맥전새연합궁강경청궁술재부궁산술후자궁반흔임신중적응용효과。방법：선택2010년1월-2013년1월아원수치적46례자궁절구임신환자작위본차연구대상，장기수궤분위량조，대조조（23례）기내주사갑안접령살사배태후직접행청궁술，관찰조（23례）칙재자궁동맥전새후연합궁강경청궁술，관찰량조적치료효과。결과：량조수술균순리실시，관찰조적술중출혈량、음도류혈시간、혈β-HCG전음시간화병발증발생솔균명현호우대조조，차이비교구유통계학의의（p<0.05）。결론：자궁동맥전새연합궁강경청궁술시치료부궁산술후자궁반흔임신적유효방안，치득림상추엄응용。
Objective: To discuss the application effect of UAE combined hysteroscopic curettage in CSP. Method: 46 patients with CSP during January 2010 to January 2013 were chosen as research objects and divided randomly into 2 groups. Control group (23 cases) was given intramuscular injection of methotrexate to kil the embryo and then given direct curettage while observation group (23 cases) were given UAE combined hysteroscopic curettage. Clinical effects of the 2 groups were observed.Result: Surgeries of both groups were successful. On bleeding amount during surgery, time of vaginal bleeding, serum β-HCG clearance time and occurrence rate of complications, experiment group was obviously superior to control group (P<0.05). Conclusion: UAE combined hysteroscopic curettage is an effective method for treatment of CSP and worth of being popularized clinical y.
