[1]张 伟,王莉杰,王 觅.子宫动脉栓塞术治疗有异常供血的剖宫产瘢痕妊娠临床研究[J].介入放射学杂志,2020,29(07):668-672.
 ZHANG Wei,WANG Lijie,WANG Mi..Uterine artery embolization for the treatment of cesarean scar pregnancy with abnormal blood supply: a clinical study[J].journal interventional radiology,2020,29(07):668-672.
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子宫动脉栓塞术治疗有异常供血的剖宫产瘢痕妊娠临床研究()

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

卷:
29
期数:
2020年07
页码:
668-672
栏目:
血管介入
出版日期:
2020-07-25

文章信息/Info

Title:
Uterine artery embolization for the treatment of cesarean scar pregnancy with abnormal blood supply: a clinical study
作者:
张 伟 王莉杰 王 觅
Author(s):
ZHANG Wei WANG Lijie WANG Mi.
Department of Interventional Radiology, Zhengzhou Municipal First People’s Hospital, Zhengzhou, Henan Province 450004, China
关键词:
【关键词】 剖宫产瘢痕妊娠 子宫动脉栓塞术 血液供应 异常
文献标志码:
A
摘要:
【摘要】 目的 探讨有异常供血的剖宫产瘢痕妊娠(CSP)产妇子宫动脉栓塞术(UAE)治疗效果。 方法 分析92例接受UAE术CSP患者临床和DSA影像资料。其中15例妊娠囊有除子宫动脉以外的异常供血患者为A组,77例无异常供血患者为B组。比较两组患者UAE术后24 h血清β-人绒毛膜促性腺激素(β-HCG)下降程度、术中大出血、输血率、UAE后住院时间、血清β-HCG转阴时间、UAE操作时间和月经恢复时间。 结果 A、B组UAE术技术成功率均为100%。A组共计20支异常供血血管中16支成功完成超选择性插管并栓塞,4支超选择性插管失败后改行髂内动脉前干栓塞。除3例(B组)拒绝接受UAE术后治疗外,89例于UAE术后1~13 d接受妊娠囊清除术,术中出血5~1 400 mL,无子宫切除事件发生。A、B组间术中大出血、输血率、UAE操作时间差异有统计学意义(P<0.05),UAE术后24 h血清β-HCG下降程度、UAE后住院时间、血清β-HCG转阴时间和月经恢复时间差异无统计学意义(P>0.05)。 结论 UAE治疗有异常供血的CSP患者效果满意。需要注意的是,UAE成功施行后妊娠囊清除手术过程中仍有大出血可能,仍需临床加以重视。

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备注/Memo

备注/Memo:
(收稿日期:2019- 07- 08)
(本文编辑:边 佶)
更新日期/Last Update: 2020-07-15