论文部分内容阅读
目的 :探讨子宫动脉化疗栓塞术(uterine artery chemoembolization,UACE)联合宫腔镜治疗高风险子宫切口瘢痕妊娠(cesarean scar pregnancy,CSP)的疗效和安全性。方法:选取临床诊断CSP且孕囊位于肌层、向外生长、供血丰富、原始胚胎生长活性高的高风险患者31例,行UACE联合宫腔镜治疗,取组织病理检查,术后观察腹痛及出血情况,复查β-HCG及孕酮、超声,随访3个月以上观察并发症和月经恢复时间。结果:所有患者UACE联合宫腔镜治疗均一次成功,保住子宫,宫腔镜手术顺利快速,平均用时14 min,出血量均<30 m L,病理检查结果为陈旧坏死变性组织、CSP,1个月恢复月经。结论:UACE联合宫腔镜治疗高风险CSP效果好、创伤小、安全性高、恢复快。
Objective: To investigate the efficacy and safety of uterine artery chemoembolization (UACE) combined with hysteroscopy in the treatment of high risk cesarean scar pregnancy (CSP). Methods: Thirty-one high-risk patients with clinically diagnosed CSP and gestational sac located in muscle layer, outgrowth, rich in blood supply and high original embryo growth activity were treated with UACE combined with hysteroscopy. Histopathological examination was performed. Bleeding, review of β-HCG and progesterone, ultrasound, follow-up more than 3 months to observe the complications and menstruation recovery time. Results: UACE combined with hysteroscopy was successful in all patients, hysterectomy was retained and hysteroscopy was successful. The average time was 14 min, the amount of bleeding was less than 30 m L, and the pathological results were aged degenerative tissue, CSP, Month to resume menstruation. Conclusion: UACE combined with hysteroscopic treatment of high-risk CSP good effect, less trauma, high safety, fast recovery.