| 子宫动脉栓塞后清宫治疗内生型剖宫产瘢痕妊娠的临床分析 |
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| 引用本文： | 李跃波,周颖,申震,吴大保.子宫动脉栓塞后清宫治疗内生型剖宫产瘢痕妊娠的临床分析[J].蚌埠医学院学报,2018,43(12):1572-1574. |
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| 作者姓名： | 李跃波 周颖 申震 吴大保 |
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| 作者单位： | 中国科技大学附属第一医院(安徽省立医院) 妇产科, 安徽 合肥 230001 |
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| 摘 要： | 目的:探讨子宫动脉栓塞联合清宫术治疗内生型剖宫产术后瘢痕妊娠（CSP）的临床疗效和安全性。方法:内生型CSP病人70例，行子宫动脉栓塞后72 h内，B超监护下行清宫术，观察病人CSP终止妊娠率、术中出血量、术后有无再出血、宫内残留情况、人绒毛膜促性腺激素恢复正常时间、月经恢复时间和术后并发症发生情况。结果:70例病人均成功行子宫动脉栓塞后清宫治疗，清宫治疗终止妊娠率为98.57%（69/70）。清宫术中出血量为（23.33±47.22） mL，人绒毛膜促性腺激素恢复正常时间为（20.73±5.53） d，术后月经恢复平均时间为（40.97±8.97） d，术后1周复查彩超均无宫内残留，所有病人均无治疗性并发症发生。结论:子宫动脉栓塞联合清宫术治疗内生型CSP具有成功率高、出血少、并发症少的特点，是一种安全有效的治疗方法，值得临床推广。
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| 关 键 词： | 子宫瘢痕妊娠 子宫动脉栓塞 清宫术 |
| 收稿时间： | 2018-08-30 |
Clinical analysis of the curettage in the treatment of endogenic cesarean scar pregnancy after uterine artery embolization |
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| Affiliation: | Department of Obstetrics and Gynecology, The First Affiliated Hospital of University of Science and Technology of China, Anhui Provincial Hospital, Hefei Anhui 230001, China |
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| Abstract: | Objective:To discuss the clinical effectiveness and safety of the curettage combined with uterine artery embolization in the treatment of endogenic cesarean scar pregnancy(CSP).Methods:Seventy patients with endogenic CSP were treated with uterine curettage guided by color Doppler ultrasound after 72h of uterine artery embolization.The successful rate of abortion,peroperative bleeding,postoperative bleeding,intrauterine residue,time of β-hCG andmenstruation returning to normal,and complication in all patients were observed.Results:All operations in 70 cases were successfully,and the abortion rate was 98.57%(69/70).The mean bleeding during operation was(23.33+47.22)mL.The time of β-hCG and menstruation returning to normal were(20.73±5.53) and(40.97±8.97) days after operation,respectively.There was no intrauterine residue under abdominal color Doppler ultrasound after 1 week of curettage.There was no complication among all patients.Conclusions:The curettage combined with uterine artery embolization in the treatment of CSP has high success rate,less bleeding,fewer complications,is safe and effective,which is worthy of clinical promotion. |
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