本文選題：剖宮產(chǎn)后疤痕妊娠 + 吸刮術(shù)　； 參考：《山東醫(yī)藥》2017年09期

【摘要】：目的探討直接B超引導(dǎo)下吸刮術(shù)治療內(nèi)生型剖宮產(chǎn)后疤痕妊娠(CSP)的療效及安全性。方法選取70例CSP患者,均停經(jīng)小于14周,孕囊直徑1~5 cm,孕囊與膀胱壁間肌層厚度2 mm以上。根據(jù)治療方法不同將其分為觀察組18例與對照組52例,觀察組直接于B超引導(dǎo)下行吸刮術(shù),對照組予雙側(cè)子宮動脈化療栓塞后行B超引導(dǎo)下吸刮術(shù),比較兩組治療效果,包括刮宮耗時、術(shù)中出血量、術(shù)后血紅蛋白值及β-HCG值、住院時間、住院費(fèi)用。結(jié)果觀察組與對照組刮宮耗時分別為(12.72±3.54)、(21.71±16.32)min,住院時間分別為(5.78±2.92)、(8.96±3.90)d,住院費(fèi)用分別為(3 182.76±430.14)、(18 039.95±526.67)元,兩組刮宮耗時、住院時間、住院費(fèi)用比較,P均0.05。觀察組與對照組在術(shù)中出血量、術(shù)后血紅蛋白值、β-HCG值、β-HCG值降至正常及月經(jīng)恢復(fù)時間上差異無統(tǒng)計學(xué)意義(P均0.05)。結(jié)論對于停經(jīng)不足14周,孕囊直徑1~5 cm,孕囊與膀胱壁間肌層厚度2 mm以上,出血量不多的內(nèi)生型CSP患者可直接于B超引導(dǎo)下行吸刮術(shù),可避免子宮動脈栓塞化療導(dǎo)致的不良反應(yīng)及弊端,并可縮短住院時間、減少治療費(fèi)用。
[Abstract]:Objective to evaluate the efficacy and safety of direct B-ultrasound guided aspiration and curettage in the treatment of cesarean scar pregnancy (CSP) after cesarean section. Methods 70 patients with CSP were selected. All of them were postmenopausal for less than 14 weeks, gestational sac was 1 ~ 5 cm in diameter, and the thickness of the muscular layer between the bladder wall and the gestational sac was more than 2 mm. According to the different treatment methods, it was divided into the observation group (n = 18) and the control group (n = 52). The observation group was treated directly with B-ultrasound guided curettage, and the control group was treated with B-ultrasound guided curettage after bilateral uterine artery chemoembolization. These include time consuming, intraoperative bleeding, postoperative hemoglobin and 尾 -HCG, length of stay, and hospital expenses. Results the time of curettage in the observation group and the control group was 21.71 鹵16.32 min, and the hospitalization time was 5.78 鹵2.92 鹵3.90 min, respectively, and the hospitalization cost was 3 182.76 鹵430.14 (18 039.95 鹵526.67) yuan, respectively. There was no significant difference in blood loss, hemoglobin value, 尾 -HCG value and menstrual recovery time between the observation group and the control group (P < 0.05). Conclusion Endogenous CSP patients with less than 14 weeks of menopause, gestational sac diameter of 1 ~ 5 cm, thickness of more than 2 mm between the pregnant sac and the bladder wall, and less bleeding can be directly guided by B-ultrasound guided aspiration and curettage. It can avoid the adverse reaction and malpractice caused by uterine artery chemoembolization, shorten the hospitalization time and reduce the cost of treatment.
【作者單位】： 安徽醫(yī)科大學(xué)第一附屬醫(yī)院;
【分類號】：R714.22

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 趙穎;祝賀;岳辰;李宗濤;張煒e，

本文編號：1974140