中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
27期
71-71,73
,共2页
张淑珍%蒋玲%曾纯杰
張淑珍%蔣玲%曾純傑
장숙진%장령%증순걸
早期瘢痕妊娠%动脉栓塞%吸宫术
早期瘢痕妊娠%動脈栓塞%吸宮術
조기반흔임신%동맥전새%흡궁술
Early scar pregnancy%Arterial embolization%Uterine aspiration
目的：探讨子宫动脉栓塞在子宫瘢痕妊娠治疗中的临床价值。方法：2011年1月-2013年12月收治剖宫产瘢痕妊娠患者15例，回顾性分析其诊治过程。其中3例外院误诊早孕行人工流产术中出血多填塞后转诊至我院，另12例初诊即确诊早期瘢痕妊娠，3例入院即急诊行子宫动脉介入栓塞，12例择期子宫动脉介入栓塞，15例均在术后48～72 h内在B超引导下行负压吸宫术。结果：3例急诊子宫动脉介入栓塞后子宫无活动性出血，15例均在B超引导下行负压吸宫术，吸宫过程顺利，无活动性出血，组织均可见绒毛，术后病理提示退变坏死绒毛，术后阴道流血3～7 d，术后40 d左右恢复月经。结论：子宫动脉介入栓塞结合B超引导下负压吸宫术，对早期子宫瘢痕妊娠疗效确切，出血量少，创伤小，住院时间短。
目的：探討子宮動脈栓塞在子宮瘢痕妊娠治療中的臨床價值。方法：2011年1月-2013年12月收治剖宮產瘢痕妊娠患者15例，迴顧性分析其診治過程。其中3例外院誤診早孕行人工流產術中齣血多填塞後轉診至我院，另12例初診即確診早期瘢痕妊娠，3例入院即急診行子宮動脈介入栓塞，12例擇期子宮動脈介入栓塞，15例均在術後48～72 h內在B超引導下行負壓吸宮術。結果：3例急診子宮動脈介入栓塞後子宮無活動性齣血，15例均在B超引導下行負壓吸宮術，吸宮過程順利，無活動性齣血，組織均可見絨毛，術後病理提示退變壞死絨毛，術後陰道流血3～7 d，術後40 d左右恢複月經。結論：子宮動脈介入栓塞結閤B超引導下負壓吸宮術，對早期子宮瘢痕妊娠療效確切，齣血量少，創傷小，住院時間短。
목적：탐토자궁동맥전새재자궁반흔임신치료중적림상개치。방법：2011년1월-2013년12월수치부궁산반흔임신환자15례，회고성분석기진치과정。기중3예외원오진조잉행인공유산술중출혈다전새후전진지아원，령12례초진즉학진조기반흔임신，3례입원즉급진행자궁동맥개입전새，12례택기자궁동맥개입전새，15례균재술후48～72 h내재B초인도하행부압흡궁술。결과：3례급진자궁동맥개입전새후자궁무활동성출혈，15례균재B초인도하행부압흡궁술，흡궁과정순리，무활동성출혈，조직균가견융모，술후병리제시퇴변배사융모，술후음도류혈3～7 d，술후40 d좌우회복월경。결론：자궁동맥개입전새결합B초인도하부압흡궁술，대조기자궁반흔임신료효학절，출혈량소，창상소，주원시간단。
Objective:To explore the clinical value of uterine artery embolization in the treatment of cesarean scar pregnancy. Methods:15 cases with cesarean scars pregnancy were selected from January 2011 to December 2013.Their diagnosis and treatment process were retrospectively analyzed.3 cases were misdiagnosed pregnancy and given artificial abortion.They had more intraoperative bleeding and referred to our hospital.Another 12 cases were diagnosed early scar pregnancy in the first visit.3 cases were given uterine artery interventional embolization in emergency.12 cases were given uterine artery interventional embolization in selecting a good time.15 cases were given negative pressure uterine aspiration under B ultrasound guidance in postoperative 48~72 hours.Results:3 cases had no active uterine bleeding after emergency uterine artery interventional embolization.15 cases were given negative pressure uterine aspiration under B ultrasound guidance.The palace absorption process was smooth without active bleeding.The organizations were visible fluff.The postoperative pathological results showed degeneration necrosis of fluff. The postoperative vaginal bleeding were about 3 to 7 days.The menstruation was recovery about 40 days after operation. Conclusion:Uterine artery interventional embolization combined with negative pressure uterine aspiration under B ultrasound guidance has exact efficacy for early uterine scar pregnancy.It has less bleeding,less trauma and shorter hospitalization time.
