子宫瘢痕部位妊娠和宫颈妊娠36例诊疗分析

The clinical analysis of cesarean scar pregnancy and cervix pregnancy in 36 cases

目的探讨子宫瘢痕部位妊娠(cesarean scar pregnancy,CSP)和宫颈妊娠(cervical pregnancy,CP)的治疗方法。方法对1999年7月至2009年6月于深圳龙岗中心医院诊治的36例子宫瘢痕部位妊娠和宫颈妊娠患者的临床资料进行回顾性分析。结果36例子宫瘢痕部位妊娠和宫颈妊娠患者行子宫动脉栓塞治疗后成功27例,2例因吸宫术致大出血切除子宫,子宫动脉栓塞治疗明显优于直接吸宫,两组比较,差异有统计学意义(P<0.05)。结论子宫动脉栓塞治疗子宫瘢痕部位妊娠和宫颈妊娠是最快捷有效的治疗方法。

Objective To study the treatment of cesarean scar pregnancy （CSP） and cervix pregnancy（CP）. Methods The clinical data of 36 cases with CSP and CP was analyzed retrospectively in central hospital of Longlang region in Shenzhen city from July 1999 to June 2009. Results Uterusartery Embolization （UAE） was taken to 36 cases but 27 case were cured. 2 cases were made hysterectomy because of hemorrhage resulting from uterine aspiration. The effect of UAE was superior to that of uterine aspiration and there was significant difference （P 〈 0. 05）. Conclusion UAE was the most effective way to treat CSP and CP.