[1]陈 毅,谢春明,杨敏玲,等. 子宫动脉栓塞术在剖宫产术后子宫瘢痕妊娠治疗中的应用[J].介入放射学杂志,2012,(05):410-413.
 ,,et al. The application of uterine artery embolization for the treatment of uterine scar pregnancy after cesarean section[J].journal interventional radiology,2012,(05):410-413.
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 子宫动脉栓塞术在剖宫产术后子宫瘢痕妊娠治疗中的应用 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年05期
页码:
410-413
栏目:
临床研究
出版日期:
2012-05-30

文章信息/Info

Title:
 The application of uterine artery embolization for the treatment of uterine scar pregnancy after cesarean section
作者:
 陈 毅 谢春明 杨敏玲 冯对平 庞宁东 崔丽萍 崔金喜 刘文英
Author(s):
 CHEN Yi XIE Chunming YANG Minling FENG Duiping PANG Ningdong CUI Liping CUI Jinxi LIU Wenying.
 Department of Intervention, the First Hospital, Shanxi Medical University, Taiyuan 030001, China
关键词:
 【关键词】 剖宫产瘢痕妊娠 超声 子宫动脉栓塞术 出血
文献标志码:
A
摘要:
 【摘要】 目的 探讨子宫动脉栓塞术(UAE)在剖宫产术后子宫瘢痕妊娠CSP)治疗中的应用价值。方法 2007年1月至2011年6月共收治CSP患者35例,根据是否行UAE分为栓塞组(21例)和非栓塞组(14例)。栓塞组中,16例在UAE 后24 ~ 48 h行清宫术,5例在UAE后行开腹或阴式病灶切除术。非栓塞组中8例直接行清宫术,3例病灶局部注射甲氨蝶呤后行清宫术,3例直接开腹行病灶切除术。比较两组患者术中出血量、住院时间、β人绒毛膜促性腺激素(βHCG)值降至正常时间的差异。结果 栓塞组21例患者UAE操作成功,全部患者保留子宫,平均住院时间为(11.5 ± 3.6 )d, βHCG值降至正常的平均时间为(18.6 ± 4.9)d,而非栓塞组则分别为(20.4 ± 5.2) d和(28.7 ± 5.6)d。非栓塞组中2例由于术中出血汹涌,被迫行子宫切除术。结论 UAE术是一种有效的治疗CSP的方法,创伤小、成功率高,保留了患者的生育功能,能起到明显的防止出血和止血的作用。

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备注/Memo

备注/Memo:
 (收稿日期:2011-11-04)
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