| 郑维英1 赵凤琼2 孙红梅2 史素丽2 殷容1.子宫动脉栓塞术对于难治性子宫下段瘢痕妊娠的影响分析[J].,2014,14(15):2914-2917 |
| 子宫动脉栓塞术对于难治性子宫下段瘢痕妊娠的影响分析 |
| Analysis of Uterine Artery Embolization for Patients with Refractory LowerUterine Segment Scar Pregnancy |
| |
| DOI： |
| 中文关键词: 动脉栓塞术 孕囊穿刺术 瘢痕妊娠 |
| 英文关键词: Uterine artery embolization Gestaional sac puncture Scar pregnancy |
| 基金项目: |
|
| 摘要点击次数: 779 |
| 全文下载次数: 1046 |
| 中文摘要: |
| 摘要目的：探讨子宫动脉栓塞术对于难治性子宫下段瘢痕妊娠的影响。方法：回顾性分析2009 年8 月至2013 年4 月经我院收
治的85 例难治性子宫下段瘢痕妊娠患者，其中41 例行子宫动脉栓塞术治疗（观察组），44 例行孕囊穿刺术治疗（对照组）。记录两
组患者术中出血量、住院时间、转经时间、茁-HCG下降至正常时间及激素水平，并比较两种治疗方法的效果。结果：观察组与对照
组痊愈率分别为92.68%和90.91%，两组治疗效果比较无显著性差异（P>0.05）。与对照组比较，观察组术中出血量显著降低、住院
时间及β-HCG 下降至正常时间均显著缩短（P<0.05）；但两组治疗前后激素水平变化比较无显著性差异（P>0.05）。术后随访1-3
个月，观察组患者转经时间为（32.18± 11.46）d，显著低于对照组的（50.03± 8.04）d，两组比较差异有统计学意义（P<0.05）。结论：子
宫动脉栓塞术有效性和安全性更高，与孕囊穿刺术比较能减少术中出血量，缩短住院时间、转经时间及β-HCG下降至正常时间。 |
| 英文摘要: |
| ABSTRACT Objective:To discuss the analysis of uterine artery embolization for patients with refractory lower uterine segment scar
pregnancy.Methods: From August 2009 to April 2013,85 patients with refractory lower uterine segment scar pregnancy in our hospital
were retrospective analyzed, including 41 uterine artery embolization (observation group) and 44 gestaional sac puncture(control group).
The amounts of blood loss during operation, the hospitalization times, the times for menstrual recovery ,the times for 茁-HCG return to
normal and the levels of hormones in the two groups were documented.And the curative effects in the two groups were compared.
Results:The recovery rate in observation group and control group were 92.68%and 90.91%, respectively, with no significant difference
between two groups of treatment effect comparison. Compared with the control group, the amounts of blood loss decreased significantly,
the hospitalization times and the times for β-HCG return to normal were significantly shortened in observation group (P<0.05); but the
levels of hormones between the two groups was no significant difference (P>0.05). The patients were followed up for 1 to 3 months, the
times for menstrual recovery in observation group (32.18± 11.46 d) were significantly less than the control group (50.03± 8.04 d)(P<
0.05).Conclusion: Compared with gestaional sac puncture, uterine artery embolization's efficacy and safety is more higher, and uterine
artery embolization can reduce the amounts of blood loss, shorten the time of hospitalization, the time for menstrual recovery, and the
time for for β-HCG return to normal. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
