摘要
目的探讨子宫动脉栓塞术治疗剖宫产术后子宫瘢痕妊娠（CSP）的临床效果。方法对宁波市妇女儿童医院2012年1—12月收治的112例接受双侧子宫动脉栓塞术治疗的子宫瘢痕妊娠患者的临床资料进行回顾性分析。结果112例患者入院前均经阴道超声检查，101例明确诊断，11例怀疑为CSP；94例患者治疗前行核磁共振成像检查以明确子宫瘢痕肌层厚度、孕囊大小。所有患者均成功行双侧子宫动脉栓塞术，术中双侧子宫动脉灌注甲氨蝶呤50～100mg，术后95例患者在B超引导下行清官术，17例患者在官腔镜下行妊娠物清除术，手术顺利，术后痊愈，随访均无严重并发症出现。结论子宫动脉栓塞术治疗剖宫产术后子宫瘢痕妊娠可保留患者生育功能，安全有效，值得临床推广应用。
Objective To investigate the clinical value of uterine artery embolization on the treatment of cesarean scar pregnancy（CSP）. Methods Clinical data of 112 cases of CSP patient underwent uterine artery embolization in Ningbo Women and Children＇s Hospital from January to December 2012 were enrolled for retrospectively analysis. Results All 112 patients underwent transvaginal ultrasound examination before admitted to hospital and among them 101 cases were diagnosed as CSP and 11 cases were suspected of CSP. Ninety-four cases were checked by magnetic resonance imaging （MRI） to measure the muscular thickness of uterine scar and the size of pregnant bursa All patients received bilateral uterine artery embolization successfully,50- 100 mg Methotrexat （MTX） were injected into uterine artery during this procedure. After uterine artery embolization, 95 cases received curettage under ultrasound guidance, while 17 cases received curettage under hysteroscopy. All patients recovered as schedule. During the follow-up, no serious complication was found. Conclusion The use of uterine artery embolization in the treatment of CSP is safe and effective, and it can preserve patients＇ fertile ability. It is worthy recommended in the clinical application.
出处
《中国综合临床》
2013年第9期997-1000,共4页
Clinical Medicine of China
关键词
剖宫产
子宫瘢痕妊娠
子宫动脉栓塞术
清宫术
宫腔镜
Cesarean
Uterine scar pregnancy
Uterine artery embolization
Curettage
Hysteroscopy
