中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
36期
73-74
,共2页
剖宫产瘢痕妊娠%清宫术%子宫动脉栓塞术
剖宮產瘢痕妊娠%清宮術%子宮動脈栓塞術
부궁산반흔임신%청궁술%자궁동맥전새술
Cesarean scar pregnancy%Curettage%Uterine artery embolization
目的：评价全身药物治疗、局部药物治疗、子宫动脉药物灌注、子宫动脉栓塞治疗剖宫产瘢痕早期妊娠的疗效。方法：2012年10月-2013年10月收治剖宫产瘢痕妊娠患者10例，对其治疗结局进行回顾分析。结果：1例行开腹子宫瘢痕妊娠病灶切除术，全身药物治疗2例，2例彩超介入局部药物治疗后清宫，5例子宫动脉药物灌注加子宫动脉栓塞后清宫术，所有病例均保留子宫，出现栓塞后反应4例，无特殊处理，自行恢复，全身药物治疗1例，出现肝功能轻度受损，经保肝治疗恢复。结论：剖宫产瘢痕妊娠应采用个体化治疗方案，子宫动脉药物灌注加子宫动脉栓塞术值得临床推广。
目的：評價全身藥物治療、跼部藥物治療、子宮動脈藥物灌註、子宮動脈栓塞治療剖宮產瘢痕早期妊娠的療效。方法：2012年10月-2013年10月收治剖宮產瘢痕妊娠患者10例，對其治療結跼進行迴顧分析。結果：1例行開腹子宮瘢痕妊娠病竈切除術，全身藥物治療2例，2例綵超介入跼部藥物治療後清宮，5例子宮動脈藥物灌註加子宮動脈栓塞後清宮術，所有病例均保留子宮，齣現栓塞後反應4例，無特殊處理，自行恢複，全身藥物治療1例，齣現肝功能輕度受損，經保肝治療恢複。結論：剖宮產瘢痕妊娠應採用箇體化治療方案，子宮動脈藥物灌註加子宮動脈栓塞術值得臨床推廣。
목적：평개전신약물치료、국부약물치료、자궁동맥약물관주、자궁동맥전새치료부궁산반흔조기임신적료효。방법：2012년10월-2013년10월수치부궁산반흔임신환자10례，대기치료결국진행회고분석。결과：1례행개복자궁반흔임신병조절제술，전신약물치료2례，2례채초개입국부약물치료후청궁，5례자궁동맥약물관주가자궁동맥전새후청궁술，소유병례균보류자궁，출현전새후반응4례，무특수처리，자행회복，전신약물치료1례，출현간공능경도수손，경보간치료회복。결론：부궁산반흔임신응채용개체화치료방안，자궁동맥약물관주가자궁동맥전새술치득림상추엄。
Objective:To evaluat the curative effect of systemic drug therapy,local drug therapy,uterine artery perfusion,uterine artery embolization in the treatment of cesarean scar pregnancy early.Methods:10 patients with cesarean scar pregnancy were selected from October 2012 to October 2013.We retrospective analyzed the outcome of them.Results:1 case underwent open resection of uterine scar pregnancy;systemic drug therapy in 2 cases;2 cases were given uterine curettage after involved in local drug for the treatment;5 cases were given curettage after the uterine artery infusion and embolization of uterine artery;all of them were retained uterus;embolization after reaction in 4 cases,no special processing,self recovery;systemic drug therapy in 1 cases, appeared mild liver function damage,recovered after the treatment of liver.Conclusion:Cesarean scar pregnancy should adopt individual treatment.Uterine artery infusion and embolization of uterine arteries is worth the clinical promotion.
