医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
11期
182-183
,共2页
剖宫产瘢痕妊娠%宫腔镜%子宫动脉栓塞
剖宮產瘢痕妊娠%宮腔鏡%子宮動脈栓塞
부궁산반흔임신%궁강경%자궁동맥전새
Cesarean scar pregnancy%Hysteroscopy%Uterine artery embolization
目的：探究剖宫产瘢痕妊娠应用宫腔镜联合子宫动脉栓塞治疗的临床疗效。方法：抽取2012年11月—2014年11月在我院就诊的60例剖宫产瘢痕妊娠患者进行临床研究，随机分为治疗组与对照组，治疗组患者接受双侧子宫动脉MTX(甲氨嘌呤)灌注化疗与双侧子宫动脉栓塞治疗，术后采用宫腔镜下清宫，对照组患者结案后肌肉注射MTX，采用B超下清宫，观察记录两组患者的成功率及并发症。结果：治疗组患者均成功栓塞，术后48h后24例患者通过宫腔镜将妊娠组织顺利清出体外，6例患者在清宫后用电凝止血，手术顺利，所有患者均未出现严重并发症；治疗组患者在术中出血量、手术时间、住院时间等方面均显著低于对照组，具有较好的临床疗效，差异具有统计学意义（P<0.05）。结论：剖宫产瘢痕妊娠应用宫腔镜联合子宫动脉栓塞具有良好的临床疗效，做到了微创安全有效，可在临床广泛推广。
目的：探究剖宮產瘢痕妊娠應用宮腔鏡聯閤子宮動脈栓塞治療的臨床療效。方法：抽取2012年11月—2014年11月在我院就診的60例剖宮產瘢痕妊娠患者進行臨床研究，隨機分為治療組與對照組，治療組患者接受雙側子宮動脈MTX(甲氨嘌呤)灌註化療與雙側子宮動脈栓塞治療，術後採用宮腔鏡下清宮，對照組患者結案後肌肉註射MTX，採用B超下清宮，觀察記錄兩組患者的成功率及併髮癥。結果：治療組患者均成功栓塞，術後48h後24例患者通過宮腔鏡將妊娠組織順利清齣體外，6例患者在清宮後用電凝止血，手術順利，所有患者均未齣現嚴重併髮癥；治療組患者在術中齣血量、手術時間、住院時間等方麵均顯著低于對照組，具有較好的臨床療效，差異具有統計學意義（P<0.05）。結論：剖宮產瘢痕妊娠應用宮腔鏡聯閤子宮動脈栓塞具有良好的臨床療效，做到瞭微創安全有效，可在臨床廣汎推廣。
목적：탐구부궁산반흔임신응용궁강경연합자궁동맥전새치료적림상료효。방법：추취2012년11월—2014년11월재아원취진적60례부궁산반흔임신환자진행림상연구，수궤분위치료조여대조조，치료조환자접수쌍측자궁동맥MTX(갑안표령)관주화료여쌍측자궁동맥전새치료，술후채용궁강경하청궁，대조조환자결안후기육주사MTX，채용B초하청궁，관찰기록량조환자적성공솔급병발증。결과：치료조환자균성공전새，술후48h후24례환자통과궁강경장임신조직순리청출체외，6례환자재청궁후용전응지혈，수술순리，소유환자균미출현엄중병발증；치료조환자재술중출혈량、수술시간、주원시간등방면균현저저우대조조，구유교호적림상료효，차이구유통계학의의（P<0.05）。결론：부궁산반흔임신응용궁강경연합자궁동맥전새구유량호적림상료효，주도료미창안전유효，가재림상엄범추엄。
Objective To explore the clinical effect of cesarean scar pregnancy hysteroscopy combined with uterine artery embolization.Methods Extraction November 2010 --2014 November in our hospital 60 cases of cesarean scar pregnancy in patients with clinical studies were randomly divided into treatment group and control group, the treatment group, patients received bilateral uterine artery MTX (A aminopterin) chemotherapy with uterine artery embolization, hysteroscopic surgery using curettage, patients in the control group after closing intramuscular MTX, using B-under the Qing, the two groups were observed and recorded success rate and complications. Results The patients were successfully embolization 48h 24 patients after surgery by hysteroscopy successfully cleared the pregnancy tissue in vitro, 6 patients after curettage electric coagulation, smooth operation, all patients were no severe complications ;-treated patients in terms of blood loss, operative time, hospital stay were significantly lower than the control group, with better clinical efficacy, the difference was statistically significant (P<0.05).Conclusion Caesarean scar pregnancy hysteroscopic uterine artery embolization combined with good clinical efficacy, so that safe and effective minimally invasive, widely available in clinical practice.
