转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
2015年
3期
109-110,112
,共3页
宫腔镜%剖宫产切口瘢痕妊娠%子宫动脉栓塞术%甲
宮腔鏡%剖宮產切口瘢痕妊娠%子宮動脈栓塞術%甲
궁강경%부궁산절구반흔임신%자궁동맥전새술%갑
hysteroscopy%cesarean scar pregnancy%uterine ar-tery embolization%methotrexate
目的：分析宫腔镜联合子宫动脉栓塞术（UAE）在治疗剖宫产切口瘢痕妊娠（CSP ）中的效果．方法：选取我院2011／2013收治的20例剖宫产切口瘢痕妊娠患者进行分析，在治疗前使用UAE联合甲氨蝶呤注入动脉，当患者血β-HCG降至1000 U／L左右，超声检查显示病灶浆膜层厚为0．2 cm以上时，行腹腔镜手术切除病灶．结果：所有患者宫腔镜手术持续时间为20～41（平均22．3±3．5）min，术中出血量为（18．2±5．7）mL，所有患者无术中转开腹，术中无并发症等情况发生，患者血β-HCG在术后降至（113．7±35．2）U／L，术后（40．2±2．5）d恢复月经．结论：利用宫腔镜联合子宫动脉栓塞术（UAE）在治疗剖宫产切口瘢痕妊娠（CSP）能得到满意的治疗效果，为有效的治疗方法．
目的：分析宮腔鏡聯閤子宮動脈栓塞術（UAE）在治療剖宮產切口瘢痕妊娠（CSP ）中的效果．方法：選取我院2011／2013收治的20例剖宮產切口瘢痕妊娠患者進行分析，在治療前使用UAE聯閤甲氨蝶呤註入動脈，噹患者血β-HCG降至1000 U／L左右，超聲檢查顯示病竈漿膜層厚為0．2 cm以上時，行腹腔鏡手術切除病竈．結果：所有患者宮腔鏡手術持續時間為20～41（平均22．3±3．5）min，術中齣血量為（18．2±5．7）mL，所有患者無術中轉開腹，術中無併髮癥等情況髮生，患者血β-HCG在術後降至（113．7±35．2）U／L，術後（40．2±2．5）d恢複月經．結論：利用宮腔鏡聯閤子宮動脈栓塞術（UAE）在治療剖宮產切口瘢痕妊娠（CSP）能得到滿意的治療效果，為有效的治療方法．
목적：분석궁강경연합자궁동맥전새술（UAE）재치료부궁산절구반흔임신（CSP ）중적효과．방법：선취아원2011／2013수치적20례부궁산절구반흔임신환자진행분석，재치료전사용UAE연합갑안접령주입동맥，당환자혈β-HCG강지1000 U／L좌우，초성검사현시병조장막층후위0．2 cm이상시，행복강경수술절제병조．결과：소유환자궁강경수술지속시간위20～41（평균22．3±3．5）min，술중출혈량위（18．2±5．7）mL，소유환자무술중전개복，술중무병발증등정황발생，환자혈β-HCG재술후강지（113．7±35．2）U／L，술후（40．2±2．5）d회복월경．결론：이용궁강경연합자궁동맥전새술（UAE）재치료부궁산절구반흔임신（CSP）능득도만의적치료효과，위유효적치료방법．
AIM:To analyze the effect of hysteroscopy combined with uterine artery embolization (UAE)in treating cesarean scar pregnancy (CSP).METHODS:A total of 20 patients with ce-sarean scar pregnancy and admitted to our hospital from 201 1 to 2013 were enrolled in the study.UAE and methotrexate were in-jected into artery before treatment.When the value of serum β-HCG dropped to 1000 U/L and the layer of serosa in lesion was thicker than 0.2 cm in ultrasonography,laparoscopic surgical ex-cision of the lesion was conducted.RESULTS:The hysteroscopy of all patients lasted for 20~41 min with the average duration of 22.3 ±3.5 min.Intranperative blood loss was 18.25 ±5.73 mL. No conversion into open surgery and no complication occurred. The serum β-HCG dropped to 113.7 ±35.2 U/L after the surger-y,and menstruation became normal 40.2 ±2.5 d postoperatively. CONCLUSION:Treating cesarean scar pregnancy (CSP)by hysteroscopy combined with uterine artery embolization (UAE ) can harvest satisfactory therapeutic effect,and it is effective trea-ting method.
