中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
10期
96-99
,共4页
宫颈妊娠%宫颈环扎术%宫腔镜手术%子宫动脉栓塞术
宮頸妊娠%宮頸環扎術%宮腔鏡手術%子宮動脈栓塞術
궁경임신%궁경배찰술%궁강경수술%자궁동맥전새술
Cervical pregnancy%Cervical cerclage surgery%Hysteroscopy surgery%Uterine artery embolization surgery
目的：研究宫颈环扎联合宫腔镜手术与子宫动脉栓塞手术在宫颈妊娠手术中的应用效果，为宫颈妊娠手术方案的选择提供可靠依据。方法对本院2013年3月~2014年9月接诊的36例宫颈妊娠产妇进行回顾性分析，随机分为对照组与观察组。对照组18例产妇选用宫腔镜手术联合甲氨蝶呤肌内注射的方案进行治疗，观察组18例产妇选用宫颈环扎联合宫腔镜手术及子宫动脉栓塞术的方案进行治疗。结果相较于对照组，观察组术后血HCG、月经恢复正常时间明显更短，生活质量评分明显更高(P<0.05)。全体患者均顺利通过手术，对照组与观察组总满意度分别为66.7%、94.4%，差异有统计学意义(P<0.05)。两组患者术后均未出现发热、腹痛等不适反应。结论宫颈环扎联合宫腔镜手术与子宫动脉栓塞手术在宫颈妊娠手术中有良好的应用价值，值得推广应用。
目的：研究宮頸環扎聯閤宮腔鏡手術與子宮動脈栓塞手術在宮頸妊娠手術中的應用效果，為宮頸妊娠手術方案的選擇提供可靠依據。方法對本院2013年3月~2014年9月接診的36例宮頸妊娠產婦進行迴顧性分析，隨機分為對照組與觀察組。對照組18例產婦選用宮腔鏡手術聯閤甲氨蝶呤肌內註射的方案進行治療，觀察組18例產婦選用宮頸環扎聯閤宮腔鏡手術及子宮動脈栓塞術的方案進行治療。結果相較于對照組，觀察組術後血HCG、月經恢複正常時間明顯更短，生活質量評分明顯更高(P<0.05)。全體患者均順利通過手術，對照組與觀察組總滿意度分彆為66.7%、94.4%，差異有統計學意義(P<0.05)。兩組患者術後均未齣現髮熱、腹痛等不適反應。結論宮頸環扎聯閤宮腔鏡手術與子宮動脈栓塞手術在宮頸妊娠手術中有良好的應用價值，值得推廣應用。
목적：연구궁경배찰연합궁강경수술여자궁동맥전새수술재궁경임신수술중적응용효과，위궁경임신수술방안적선택제공가고의거。방법대본원2013년3월~2014년9월접진적36례궁경임신산부진행회고성분석，수궤분위대조조여관찰조。대조조18례산부선용궁강경수술연합갑안접령기내주사적방안진행치료，관찰조18례산부선용궁경배찰연합궁강경수술급자궁동맥전새술적방안진행치료。결과상교우대조조，관찰조술후혈HCG、월경회복정상시간명현경단，생활질량평분명현경고(P<0.05)。전체환자균순리통과수술，대조조여관찰조총만의도분별위66.7%、94.4%，차이유통계학의의(P<0.05)。량조환자술후균미출현발열、복통등불괄반응。결론궁경배찰연합궁강경수술여자궁동맥전새수술재궁경임신수술중유량호적응용개치，치득추엄응용。
Objective To study application effect of cervical cerclage combined with hysteroscopy surgery and uterine artery embolization in cervical pregnancy in order to provide a reliable basis for selecting programs for cervical preg-nancy surgery. Methods 36 cases of cervical pregnancy women in our hospital from March 2013 to September 2014 were retrospectively analyzed and women were randomly divided into control group and observation group.Hysteroscopy intramuscular methotrexate for therapy program was used in control group (18 cases),cervical cerclage combined with hysteroscopy surgery and uterine artery embolization for treatment program were applied in observation group(18 cases). Results Postoperative blood HCG,menstruation back to normal time in observation group was significantly shorter than that in control group respectively,quality of life score in observation group was significantly higher than that in control group (P<0.05).All the women were successful surgery.Total satisfaction rate of observation group and control group was 66.7% and 94.4% respectively,with statistical difference (P<0.05).The postoperative had no fever,abdominal pain and other symptoms. Conclusion Cervical cerclage combined with hysteroscopy and uterine artery embolization surgery have good value in cervical pregnancy surgery,it is worthy of promotion and application.
