[1]刘炳光,曹满瑞,张玉霞,等.子宫动脉栓塞与化疗栓塞治疗瘢痕妊娠疗效比较[J].介入放射学杂志,2015,(07):588-591.
 LIU Bing-guang,CAO Man-rui,ZHANG Yu-xia,et al.Uterine artery embolization and uterine artery chemoembolization for the treatment of cesarean scar pregnancy: a comparative study[J].journal interventional radiology,2015,(07):588-591.
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子宫动脉栓塞与化疗栓塞治疗瘢痕妊娠疗效比较 ()

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

卷:
期数:
2015年07期
页码:
588-591
栏目:
血管介入
出版日期:
2015-07-25

文章信息/Info

Title:
Uterine artery embolization and uterine artery chemoembolization for the treatment of cesarean scar pregnancy: a comparative study
作者:
刘炳光 曹满瑞 张玉霞 朱志军
Author(s):
LIU Bing-guang CAO Man-rui ZHANG Yu-xia ZHU Zhi-jun
Department of Radiology, Affiliated Shenzhen Municipal Maternal and Child Healthcare Hospital, Southern Medical University, Shenzhen, Guangdong Province 518028, China
关键词:
【关键词】 子宫动脉栓塞 化疗栓塞 子宫瘢痕妊娠 清宫术 甲氨蝶呤
文献标志码:
A
摘要:
【摘要】 目的 评价子宫动脉灌注化疗栓塞术(UACE)和子宫动脉栓塞术(UAE)后清宫治疗剖宫产瘢痕妊娠(CSP)的疗效。方法 经临床确诊CSP患者79例,根据不同介入方法随机分为两组,UACE组(A组)43例,UAE组(B组)36例, 每组再根据CSP类型分为内生型和外生型2个亚组,介入治疗后行清宫术。以清宫术中出血量、人绒毛膜促性腺激素(HCG)恢复正常时间、二次治疗率、治疗成功率作为疗效评估参数,比较两组间、亚组间相关数据的差异。结果 两组介入治疗后清宫手术均顺利,无子宫切除。两组HCG恢复正常时间、并发症发生情况、二次治疗率比较差异有统计学意义(P<0.05)。A组内生型28例,B组25例,治疗成功率分别为100%(28/28)和96.0%(24/25)(P>0.05);A组外生型15例,B组11例,治疗成功率分别为86.7%(13/15)和45.5%(5/11)(P<0.05)。两组外生型患者术后阴道持续出血时间、月经复潮时间、HCG恢复正常时间、二次治疗率及治疗成功率差异均有统计学意义(P<0.05)。结论UAE或UACE后清宫均为治疗CSP的安全有效方法。内生型CSP可考虑UAE,外生型CSP宜采用UACE。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2014-11-27)
(本文编辑:边 佶)
更新日期/Last Update: 2015-07-22