中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
6期
1008-1009,1010
,共3页
子宫动脉阻断法%瘢痕部位妊娠%前峡部妊娠%临床价值
子宮動脈阻斷法%瘢痕部位妊娠%前峽部妊娠%臨床價值
자궁동맥조단법%반흔부위임신%전협부임신%림상개치
uterine artery occlusion%scar pregnancy%pre-pregnancy isthmus%clinical value
目的：探讨子宫动脉阻断法在瘢痕部位妊娠和前峡部妊娠的应用。方法回顾性分析2011年11月至2013年11月东营市人民医院收治的60例瘢痕部位妊娠和前峡部妊娠妊娠患者的临床资料，观察组给予子宫动脉阻断法治疗，对照组采用甲氨喋呤治疗，两组患者均行腹腔镜下吸宫术。结果观察组患者的术中出血量明显比对照组少（t＝4．303，P＜0．05），术后血人绒毛膜促性腺激素（hCG）下降水平明显比对照组高（t＝3．182，P＜0．05），术后住院时间明显比对照组短（t＝2．776，P＜0．05）。观察组患者术后并发症发生率为6．7％，显著低于对照组的26．7％（χ2＝14．07，P＜0．05）。结论子宫动脉阻断法在瘢痕部位妊娠和前峡部妊娠的治疗中疗效显著，并发症少。
目的：探討子宮動脈阻斷法在瘢痕部位妊娠和前峽部妊娠的應用。方法迴顧性分析2011年11月至2013年11月東營市人民醫院收治的60例瘢痕部位妊娠和前峽部妊娠妊娠患者的臨床資料，觀察組給予子宮動脈阻斷法治療，對照組採用甲氨喋呤治療，兩組患者均行腹腔鏡下吸宮術。結果觀察組患者的術中齣血量明顯比對照組少（t＝4．303，P＜0．05），術後血人絨毛膜促性腺激素（hCG）下降水平明顯比對照組高（t＝3．182，P＜0．05），術後住院時間明顯比對照組短（t＝2．776，P＜0．05）。觀察組患者術後併髮癥髮生率為6．7％，顯著低于對照組的26．7％（χ2＝14．07，P＜0．05）。結論子宮動脈阻斷法在瘢痕部位妊娠和前峽部妊娠的治療中療效顯著，併髮癥少。
목적：탐토자궁동맥조단법재반흔부위임신화전협부임신적응용。방법회고성분석2011년11월지2013년11월동영시인민의원수치적60례반흔부위임신화전협부임신임신환자적림상자료，관찰조급여자궁동맥조단법치료，대조조채용갑안첩령치료，량조환자균행복강경하흡궁술。결과관찰조환자적술중출혈량명현비대조조소（t＝4．303，P＜0．05），술후혈인융모막촉성선격소（hCG）하강수평명현비대조조고（t＝3．182，P＜0．05），술후주원시간명현비대조조단（t＝2．776，P＜0．05）。관찰조환자술후병발증발생솔위6．7％，현저저우대조조적26．7％（χ2＝14．07，P＜0．05）。결론자궁동맥조단법재반흔부위임신화전협부임신적치료중료효현저，병발증소。
Objective To investigate the clinical value of uterine artery occlusion in the treatment of scar pregnancy and pre -pregnancy isthmus.Methods Retrospective analysis was conducted on the clinical data of 60 cases with scar pregnancy and pre-pregnancy isthmus admitted in People’ s Hospital of Dongying City in Shandong Province from November 2011 to November 2013.Patients in observation group were treated with uterine artery occlusion , while those in control group were treated with methotrexate ( MTX) .All patients accepted laparoscopic uterine aspiration .Results The blood loss of the observation group was significantly less than that in the control group ( t=4.303,P<0.05), and the postoperative serum human chorionic gonadotropin (hCG) level dropped more significantly in the observation group (t=3.182,P<0.05).The postoperative hospital stay of the observation group was significantly shorter than that of the control group (t=2.776,P<0.05).The incidence rate of postoperative complications of the observation group was 6.7%, which was significantly lower than that of the control group (26.7%) (χ2 =14.07,P<0.05).Conclusion The effect of uterine artery occlusion in the treatment of scar pregnancy and pre-pregnancy isthmus is good with few complications .
