宫腔镜+子宫动脉栓塞结合用于剖宫产瘢痕妊娠临床分析.docVIP

精品论文 参考文献 宫腔镜+子宫动脉栓塞结合用于剖宫产瘢痕妊娠临床分析 梁裕杰 　　（四川省双流县妇幼保健院 610200） 　　【摘要】 目的：探究剖宫产瘢痕妊娠应用宫腔镜联合子宫动脉栓塞治疗的临床疗效。方法：抽取2012年11月—2014年11月在我院就诊的60例剖宫产瘢痕妊娠患者进行临床研究，随机分为治疗组与对照组，治疗组患者接受双侧子宫动脉MTX(甲氨嘌呤)灌注化疗与双侧子宫动脉栓塞治疗，术后采用宫腔镜下清宫，对照组患者结案后肌肉注射MTX，采用B超下清宫，观察记录两组患者的成功率及并发症。结果：治疗组患者均成功栓塞，术后48h后24例患者通过宫腔镜将妊娠组织顺利清出体外，6例患者在清宫后用电凝止血，手术顺利，所有患者均未出现严重并发症；治疗组患者在术中出血量、手术时间、住院时间等方面均显著低于对照组，具有较好的临床疗效，差异具有统计学意义（Plt;0.05）。结论：剖宫产瘢痕妊娠应用宫腔镜联合子宫动脉栓塞具有良好的临床疗效，做到了微创安全有效，可在临床广泛推广。 　　【关键词】 剖宫产瘢痕妊娠；宫腔镜；子宫动脉栓塞 　　【中图分类号】R714.22 【文献标识码】A 【文章编号】2095-1752（2015）11-0182-02 　　 　　The Clinical Analysis of Hysteroscopy combined with uterine artery embolization for cesarean scar pregnancy 　　【Abstract】 Objective To explore the clinical effect of cesarean scar pregnancy hysteroscopy combined with uterine artery embolization. Methods Extraction November 2010 --2014 November in our hospital 60 cases of cesarean scar pregnancy in patients with clinical studies were randomly divided into treatment group and control group, the treatment group, patients received bilateral uterine artery MTX (A aminopterin) chemotherapy with uterine artery embolization, hysteroscopic surgery using curettage, patients in the control group after closing intramuscular MTX, using B-under the Qing, the two groups were observed and recorded success rate and complications. Results The patients were successfully embolization 48h 24 patients after surgery by hysteroscopy successfully cleared the pregnancy tissue in vitro, 6 patients after curettage electric coagulation, smooth operation, all patients were no severe complications ;-treated patients in terms of blood loss, operative time, hospital stay were significantly lower than the control group, with better clinical efficacy, the difference was statistically significant (P lt;0.05). Conclusion Caesarean scar pregnancy hysteroscopic uterine artery embolization combined with good clinical efficacy, so that safe and effective minimally invasive, widely available in c