子宫动脉栓塞术治疗剖宫产术后子宫瘢痕妊娠的结局分析

Analysis of Uterine Artery Embolization in the Treatment of Uterine Scar Pregnancy after Cesarean Section

目的研究子宫动脉栓塞术治疗剖宫产术后子宫瘢痕妊娠的结局。方法分析2014年5月-2016年5月诊治的74例剖宫产术后子宫瘢痕妊娠患者临床资料,患者均经阴道超声确诊,采用子宫动脉栓塞术治疗,观察临床治疗效果。结果 74例患者均保留子宫,患者均在子宫动脉栓塞术后2-5天内行清宫术,行清宫术的患者中4例术中出血大于500 m L,中转开腹行子宫疤痕切除、子宫修补术,术后住院时间8-21天,平均住院时间(13.76±1.08)天;随访3个月,74例患者月经均恢复。结论子宫动脉栓塞术治疗剖宫产术后子宫瘢痕妊娠可有效降低大出血的风险,最大化保留生育功能,且无严重并发症,值得临床推广和应用。

Objective To study the effect of uterine artery embolization in the treatment of cesarean scar pregnancy outcome. Methods A retrospective analysis from May 2014 to May 2016 in our hospital 74 cases of cesarean scar pregnancy in patients with clinical data,the patients were diagnosed by transvaginal ultrasound,uterine artery embolization treatment,observation of clinical curative effect. Results 74 patients were retained uterus,uterine artery embolization in patients after 2-5 days after curettage,curettage in 4 patients with bleeding than 500 m L,laparotomy of uterine scar resection,uterine repair,after 8-21 days of hospitalization,the average hospitalization time（ 13. 761. 08 days）; after 3 months of follow-up,74 patients recovered menstruation. Conclusions Uterine artery embolization in the treatment of cesarean scar pregnancy can effectively reduce the risk of major bleeding,maximizes the reproductive function,and no strict Serious complications,worthy of clinical promotion and Application