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经阴道子宫疤痕妊娠病灶清除与子宫动脉介入栓塞治疗剖宫产瘢痕妊娠的对比研究
杨树环,王志毅,刘丽萍,毛熙光
0
(宜宾市第一人民医院妇科;西南医科大学附属医院妇科)
摘要:
【摘要】 目的 探讨经阴道子宫疤痕妊娠病灶清除术与子宫动脉介入栓塞治疗的临床应用价值。方法 收集2013年1月~2015年12月住院治疗的子宫疤痕妊娠患者46例。将其随机分成经阴道子宫疤痕妊娠病灶清除术组(研究组)26例和子宫动脉介入栓塞后清宫术(对照组)20例。分别对术中出血量、血促性腺激素(HCG)恢复时间、住院时间、住院费用以及副作用发生等进行对比。结果 经阴道子宫疤痕妊娠病灶清除术在血HCG恢复时间、住院时间、住院费用、副作用发生率等方面优于子宫动脉介入栓塞后清宫术组,差异具有显著性(P<005)。结论 经阴道子宫疤痕妊娠病灶清除术具有高效、可靠、副作用少、术后恢复快和费用相对较低等优点,是目前治疗剖宫产子宫疤痕妊娠新的、有效的治疗方法,可在临床推广应用。
关键词:  子宫疤痕妊娠  经阴道病灶清除  子宫动脉介入栓塞术  清宫
DOI:
基金项目:四川省卫计委科研基金项目(15014)
Clinical research on transvaginal focus clearance in uterine scar pregnancy
YANG Shuhuan,WANG Zhiyi,LIU Liping,Maoxiguang
(Department of Gynaecology, The First People’s Hospital of Yibin;Department of Dynecology, The Affiliafed Hospital of Southwest Medical University)
Abstract:
【Abstract】 Objective To explore the clinical value of transvaginal focus clearance in uterine scar pregnancy. Methods 46 patients with uterine scar pregnancy collected from January 2013 to December 2015 were randomly divided into transvaginal focus clearance group (26 cases) and uterine artery interventional embolization (20 cases). The intraoperative blood loss, blood HCG recovery time, hospital stay, hospital costs, and side effects occurred were compared between the two groups. Results The blood HCG recovery time, hospital stay, hospital costs, and side effects occurred in the transvaginal focus clearance group were better than those of the uterine artery interventional embolization group, and the difference is significant between two groups (P<005). Conclusion The transvaginal focus clearance has the advantages of efficient, reliability, less side effects, fast postoperative recovery and low cost.
Key words:  Uterine scar pregnancy  Transvaginal focus clearance  Uterine artery embolization  Uterine curettage

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