剖腹产术后子宫瘢痕妊娠30列临床分析-现代医学

剖腹产术后子宫瘢痕妊娠30列临床分析

作者：罗宁

单位：南京市第一医院

分类号：

出版年·卷·期（页码）：2014·42·第三期（317-318）

摘要：

探讨子宫动脉栓塞治疗（uterine arterial embolization,UAE）治疗剖腹产术后子宫疤痕妊娠（cesarean scar pregnancy,CSP）患者的疗效，总结其临床意义。方法：选取对2010年1月至2013年1月本院收治30例CSP病例，回顾分析子宫动脉栓塞术及药物保守治疗的临床效果。结果：24例行子宫动脉栓塞术患者术，6例栓塞术后行清宫术，均预后良好，6例行药物保守治疗，3例治疗成功，2例治疗过程中阴道大量流血,1例由于β-HCG值持续上升均改为UAE治疗。结论：USE是一种有效治疗CSP的方法，也是一种有效的止血方法。

Objective To explore the therapeutic effect of UAE on cesarean scar pregnancies (CPS).Methods The clinical data of 30 CSPin our hosptai were retrospectively analysed from 2010 to 2013.The therapeutic effect of UAE on cesarean scar pregnancies was observed. Results 24 cases were treated with UAE and MTX.Hemorrfage was little in 6 cases who were curettaged after UAE,The clinical effect was remarkable.6 cases were treated only with medicines,3 cases in them crued and 3 cases were cured by UAE.Conclusions UAE is an effective therapeutic method for CSP.UAE is also effective hemorrhage during curettage.

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