河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
10期
1598-1601
,共4页
特殊部位妊娠%子宫动脉介入栓塞化疗术%甲氨蝶呤%出血
特殊部位妊娠%子宮動脈介入栓塞化療術%甲氨蝶呤%齣血
특수부위임신%자궁동맥개입전새화료술%갑안접령%출혈
Special parts of pregnancy%Uterine artery chemotherapy embolization%Methotrexate%Bleeding
目的：探讨子宫动脉介入栓塞化疗术（ UACE ）在特殊部位妊娠治疗中效果，减少终止妊娠式治疗的危害性。方法：将72例特殊部位妊娠患者按治疗方式分为两组，对照组36例在给予米非司酮、甲氨蝶呤杀胚后实施清宫术，实验组36例实施UACT，比较两组术中出血量、月经恢复及宫腔输卵管畅通情况等。结果：实验组术中出血量为（73．2±18．9）mL，少于对照组（112．5±32．4）mL（P＜0．05）；两组血β-HCG、月经周期恢复正常时间比较差异无统计学意义（ P＞0．05）；实验组子宫输卵管造影显示输卵管畅通率为91．67％，高于对照组的72．22％（ P＜0．05）；对照组4例术中大出血，3例子宫穿孔，刮宫相关并发症发生率为19．44％，实验组无1例发生大出血及子宫穿孔。结论：UACE是治疗特殊部位妊娠的有效方法，可保留卵巢及输卵管的生理、解剖功能，安全、可靠，可作为特殊部位妊娠的首选保守治疗方法。
目的：探討子宮動脈介入栓塞化療術（ UACE ）在特殊部位妊娠治療中效果，減少終止妊娠式治療的危害性。方法：將72例特殊部位妊娠患者按治療方式分為兩組，對照組36例在給予米非司酮、甲氨蝶呤殺胚後實施清宮術，實驗組36例實施UACT，比較兩組術中齣血量、月經恢複及宮腔輸卵管暢通情況等。結果：實驗組術中齣血量為（73．2±18．9）mL，少于對照組（112．5±32．4）mL（P＜0．05）；兩組血β-HCG、月經週期恢複正常時間比較差異無統計學意義（ P＞0．05）；實驗組子宮輸卵管造影顯示輸卵管暢通率為91．67％，高于對照組的72．22％（ P＜0．05）；對照組4例術中大齣血，3例子宮穿孔，颳宮相關併髮癥髮生率為19．44％，實驗組無1例髮生大齣血及子宮穿孔。結論：UACE是治療特殊部位妊娠的有效方法，可保留卵巢及輸卵管的生理、解剖功能，安全、可靠，可作為特殊部位妊娠的首選保守治療方法。
목적：탐토자궁동맥개입전새화료술（ UACE ）재특수부위임신치료중효과，감소종지임신식치료적위해성。방법：장72례특수부위임신환자안치료방식분위량조，대조조36례재급여미비사동、갑안접령살배후실시청궁술，실험조36례실시UACT，비교량조술중출혈량、월경회복급궁강수란관창통정황등。결과：실험조술중출혈량위（73．2±18．9）mL，소우대조조（112．5±32．4）mL（P＜0．05）；량조혈β-HCG、월경주기회복정상시간비교차이무통계학의의（ P＞0．05）；실험조자궁수란관조영현시수란관창통솔위91．67％，고우대조조적72．22％（ P＜0．05）；대조조4례술중대출혈，3례자궁천공，괄궁상관병발증발생솔위19．44％，실험조무1례발생대출혈급자궁천공。결론：UACE시치료특수부위임신적유효방법，가보류란소급수란관적생리、해부공능，안전、가고，가작위특수부위임신적수선보수치료방법。
Objective: To investigate the effect of uterine artery chemoembolization ( UACE ) in the treatment of specific parts of pregnancy ,to reduce the dangers .Method:72 cases of special parts of pregnan-cy were divided into 2 groups according to the treatment , 36 cases in the control group were given mifepris-tone , methotrexate after killing embryos implementation curettage , while 36 cases in the test group imple-mented UACT, compared intraoperative bleeding , menstruation and uterine tubal smooth .Result:The blood loss in the test group was (73.2±18.9) mL, less than that in the control group (112.5±32.4) mL (P <0. 05);blood β-HCG, restore normal menstrual cycle time between two groups showed no statistically signifi-cant ( P>0.05);hysterosalpingography display tubal smooth in the test group was 91.67%,which was high-er than in the control group (72.22%) (P<0.05);4 cases in the control group of intraoperative bleeding , 3 cases of uterine perforation , curettage associated morbidity 19.44 %, nobody bleeding and uterine perfora-tionin in the test group .Conclusion:UACE special parts of pregnancy is an effective method of treatment , It can keep the ovaries and fallopian tubes physiological , anatomical features, safe, reliable , It's a conserva-tive treatment method of choice as a special part of pregnancy .
