中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
28期
102-103,107
,共3页
子宫动脉栓塞术%动脉灌注化疗%子宫瘢痕妊娠
子宮動脈栓塞術%動脈灌註化療%子宮瘢痕妊娠
자궁동맥전새술%동맥관주화료%자궁반흔임신
Uterine arterial embolization%Arterial infusion chemotherapy%Uterine scar pregnancy
目的：探讨子宫动脉栓塞术联合动脉灌注化疗在剖宫产术后子宫瘢痕妊娠治疗中的价值。方法选取2009年9月~2014年9月我院收治的70例子宫瘢痕妊娠患者,将其随机分为对照组和治疗组,对照组35例给予米非司酮联合甲氨蝶呤治疗,酌情行清宫术。治疗组35例给予子宫动脉栓塞术联合动脉灌注甲氨蝶呤治疗,术后行清宫术。对比两组临床疗效。结果治疗组患者出血量为(125.6±25.6)ml,β-HCG恢复至正常的时间为(20.7±4.9)d,住院时间为(9.7±2.4)d,月经恢复正常时间为(42.1±5.6)d。对照组患者出血量为(675±26.8)ml,β-HCG恢复至正常的时间为(39.5±4.4)d,住院时间为(23.4±4.2)d,月经恢复正常时间为(62.5±9.5)d。两组比较差异有统计学意义(P<0.05)。对照组术后有3例出现低热症状,治疗组有2例出现低热症状,两组患者并发症发生情况比较,差异无统计学意义(P>0.05)。结论子宫动脉栓塞术联合动脉灌注化疗治疗剖宫产术后子宫瘢痕妊娠安全、可靠,效果确切,值得临床推广。
目的：探討子宮動脈栓塞術聯閤動脈灌註化療在剖宮產術後子宮瘢痕妊娠治療中的價值。方法選取2009年9月~2014年9月我院收治的70例子宮瘢痕妊娠患者,將其隨機分為對照組和治療組,對照組35例給予米非司酮聯閤甲氨蝶呤治療,酌情行清宮術。治療組35例給予子宮動脈栓塞術聯閤動脈灌註甲氨蝶呤治療,術後行清宮術。對比兩組臨床療效。結果治療組患者齣血量為(125.6±25.6)ml,β-HCG恢複至正常的時間為(20.7±4.9)d,住院時間為(9.7±2.4)d,月經恢複正常時間為(42.1±5.6)d。對照組患者齣血量為(675±26.8)ml,β-HCG恢複至正常的時間為(39.5±4.4)d,住院時間為(23.4±4.2)d,月經恢複正常時間為(62.5±9.5)d。兩組比較差異有統計學意義(P<0.05)。對照組術後有3例齣現低熱癥狀,治療組有2例齣現低熱癥狀,兩組患者併髮癥髮生情況比較,差異無統計學意義(P>0.05)。結論子宮動脈栓塞術聯閤動脈灌註化療治療剖宮產術後子宮瘢痕妊娠安全、可靠,效果確切,值得臨床推廣。
목적：탐토자궁동맥전새술연합동맥관주화료재부궁산술후자궁반흔임신치료중적개치。방법선취2009년9월~2014년9월아원수치적70례자궁반흔임신환자,장기수궤분위대조조화치료조,대조조35례급여미비사동연합갑안접령치료,작정행청궁술。치료조35례급여자궁동맥전새술연합동맥관주갑안접령치료,술후행청궁술。대비량조림상료효。결과치료조환자출혈량위(125.6±25.6)ml,β-HCG회복지정상적시간위(20.7±4.9)d,주원시간위(9.7±2.4)d,월경회복정상시간위(42.1±5.6)d。대조조환자출혈량위(675±26.8)ml,β-HCG회복지정상적시간위(39.5±4.4)d,주원시간위(23.4±4.2)d,월경회복정상시간위(62.5±9.5)d。량조비교차이유통계학의의(P<0.05)。대조조술후유3례출현저열증상,치료조유2례출현저열증상,량조환자병발증발생정황비교,차이무통계학의의(P>0.05)。결론자궁동맥전새술연합동맥관주화료치료부궁산술후자궁반흔임신안전、가고,효과학절,치득림상추엄。
Objective To explore the value of uterine arterialembolism combined with artery infusion chemotherapy in treating cesarean scar pregnancy after cesarean delivery. Methods 70 cesarean scar pregnancy patients from September 2009 to September 2014 of our hospital were selected.Patients were randomly divided into control group and treatment group.35 patients in control group were given mifepristone combined with methotrexate,and curettage was taken discre-tionary.35 patients in treatment group were given uterine arterialembolism combined with artery infusion chemotherapy and curettage was taken after operation.The clinical effect between two groups was compared. Results The amount of bleeding in treatment group was (125.6±25.6)ml,the time of β-HCG to recover was(20.7±4.9) d,hospital time was(9.7±2.4) d,the time of menstruation back to normal was(42.1±5.6) d.The amount of bleeding in control group was(675±26.8) ml,the time of β-HCG to recover was(39.5±4.4) d,hospital time was (23.4±4.2)d,the time of menstruation back to nor-mal was (62.5±9.5) d.The difference between two group was obvious,and the difference was statistical significance (P<0.05).3 cases had low-grade fever in control group and 2 cases in treatment group.The incidence situation of complica-tions between two groups had no significantly difference(P>0.05). Conclusion It is safe,reliable and exact effect that u-terine arterialembolism combined with artery infusion chemotherapy in treating cesarean scar pregnancy after cesarean delivery.It is worth to popularize in clinical.
