[1]陈金亮,梅海炳.首次和再次瘢痕妊娠介入治疗临床效果分析[J].介入放射学杂志,2021,30(08):820-823.
 CHEN Jinliang,MEI Haibing..Interventional therapy for the first and second cesarean scar pregnancy: analysis of clinical curative effect[J].journal interventional radiology,2021,30(08):820-823.
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首次和再次瘢痕妊娠介入治疗临床效果分析()

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

卷:
30
期数:
2021年08
页码:
820-823
栏目:
临床研究
出版日期:
2021-08-25

文章信息/Info

Title:
Interventional therapy for the first and second cesarean scar pregnancy: analysis of clinical curative effect
作者:
陈金亮 梅海炳
Author(s):
CHEN Jinliang MEI Haibing.
Department of Radiology, Ningbo Municipal Women and Children’s Hospital, Ningbo, Zhejiang Province 315010, China
关键词:
【关键词】 剖宫产瘢痕妊娠 子宫动脉栓塞术 疗效
文献标志码:
A
摘要:
【摘要】 目的 探讨介入治疗联合清宫术与宫腔镜手术治疗剖宫产瘢痕妊娠(CSP)出血情况,评价介入治疗对首次和再次CSP的效果。 方法 收集宁波市妇女儿童医院2014年1月至2019年12月收治的88例CSP患者临床资料。其中33例患者2次CSP接受2次介入治疗联合清宫术(A组),55例患者首次CSP未介入治疗直接接受宫腔镜手术(B组)。观察指标:两组手术出血量,A组再次CSP二次介入治疗与首次CSP介入治疗手术情况(子宫供血血管、栓塞血管、血管破裂、曝光时间、手术时间),术后清宫出血量、清宫成功率。 结果 A组、B组术中出血量分别为(40.38±87.30) mL、(69.27±68.63) mL,A组出血量较少(P=0.048)。再次CSP二次介入治疗与首次CSP介入治疗相比,双侧子宫动脉供血比率(48.5%对100%,P<0.01)、双侧子宫动脉栓塞比率(42.4%对97%,P<0.01)均显著较低,超选择插管和栓塞过程中血管易破裂(15%对0%,P=0.02)、曝光时间[(5.26±1.67) min对(2.72±1.02) min,P<0.001]、手术时间[(61.94±15.85) min对 (40.45±9.49) min,P<0.01]均明显延长;介入术后清宫过程中出血量[(74.70±114.23) mL对(6.06±2.08) mL,P=0.01]明显增多,清宫成功率(87.9%对100%,P=0.04)较低。 结论 清宫术前介入栓塞可有效减少CSP治疗中出血,但再次CSP行二次介入治疗手术难度较大,术后清宫过程中出血风险仍较高,清宫术前需做好充分准备。

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备注/Memo

备注/Memo:
(收稿日期:2020- 07- 17)
(本文编辑:边 佶)
更新日期/Last Update: 2021-08-18