中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
28期
82-83
,共2页
子宫瘢痕妊娠%刮宫术%子宫动脉栓塞术
子宮瘢痕妊娠%颳宮術%子宮動脈栓塞術
자궁반흔임신%괄궁술%자궁동맥전새술
Uterine scar pregnancy%Uterine curetlage%Uterine arterial embolization
目的：探讨子宫瘢痕妊娠的临床诊治。方法：收治子宫瘢痕妊娠患者60例，35例先行子宫动脉栓塞术(UAE)后刮宫，25例未行 UAE，总结其出血的风险因素和治疗特点。结果：停经时间长，出血风险高；停经≥56 d 者行UAE后刮宫出血较少，有优势；停经11周以上病例大出血及子宫切除的几率增高。结论：瘢痕妊娠关键是早发现，早诊断，早治疗，可减少并发症的发生。对停经时间达3个月的病例，要警惕大出血的发生。
目的：探討子宮瘢痕妊娠的臨床診治。方法：收治子宮瘢痕妊娠患者60例，35例先行子宮動脈栓塞術(UAE)後颳宮，25例未行 UAE，總結其齣血的風險因素和治療特點。結果：停經時間長，齣血風險高；停經≥56 d 者行UAE後颳宮齣血較少，有優勢；停經11週以上病例大齣血及子宮切除的幾率增高。結論：瘢痕妊娠關鍵是早髮現，早診斷，早治療，可減少併髮癥的髮生。對停經時間達3箇月的病例，要警惕大齣血的髮生。
목적：탐토자궁반흔임신적림상진치。방법：수치자궁반흔임신환자60례，35례선행자궁동맥전새술(UAE)후괄궁，25례미행 UAE，총결기출혈적풍험인소화치료특점。결과：정경시간장，출혈풍험고；정경≥56 d 자행UAE후괄궁출혈교소，유우세；정경11주이상병례대출혈급자궁절제적궤솔증고。결론：반흔임신관건시조발현，조진단，조치료，가감소병발증적발생。대정경시간체3개월적병례，요경척대출혈적발생。
Objective:To explore the clinical diagnosis and treatment of uterine scar pregnancy.Methods:60 patients with uterine scar pregnancy were selected.35 cases were given uterine arterial embolization(UAE) at first and curettage at later.25 cases were not given UAE.The risk factors and treatment characteristics of hemorrhage were summarized.Results:The menopause time was long,and the hemorrhage risk was high.The patients with menopause more than or equal to 56 days were given UAE at first and curettage at later,their hemorrhage were less,and there had advantages.In the patients with menopause more than 11 weeks,the probabilities of bleeding and hysterectomy were increased.Conclusion:The key of uterine scar pregnanc is early detection,early diagnosis,early treatment.It can reduce the occurrence of complications.If the menopause time is up to 3 months,it is alert to the occurrence of major bleeding.
