引用本文:刘惠萍,王若光,彭桂华,肖望丽.剖宫产术后子宫切口瘢痕处妊娠13例的临床治疗分析[J].中国临床新医学,2013,6(9):863-865.
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剖宫产术后子宫切口瘢痕处妊娠13例的临床治疗分析
刘惠萍,王若光,彭桂华,肖望丽
414000 湖南,岳阳市一人民医院妇科(刘惠萍,彭桂华,肖望丽);410000 长沙,湖南中医药大学中西结合系(王若光)
摘要:
[摘要] 目的 探讨子宫动脉栓塞后宫腔镜下清宫治疗剖宫产术后瘢痕处妊娠的临床应用价值。方法 回顾性分析13例剖宫产术后瘢痕处妊娠患者的临床资料。结果 13例中除1例患者要求切除子宫行子宫全切术外,其余12例均采用子宫动脉栓塞术+宫腔镜下清宫术治疗,12例均治愈。结论 介入治疗能迅速止血,有效杀胚,减少大出血及子宫切除风险,是治疗剖宫产术后瘢痕处妊娠的有效方法。
关键词:  剖宫产瘢痕妊娠  子宫动脉栓塞  清宫术
DOI:10.3969/j.issn.1674-3806.2013.09.11
分类号:R 714
基金项目:
Treatment of 13 cases of cesarean scar pregnancy
LIU Hui-ping, WANG Ruo-guang, PENG Gui-hua,et al.
Department of Gynecology, the First People′s Hospital of Yueyang,Hunan 414000,China
Abstract:
[Abstract] Objective To explore the clinica1 value of hysteroscopic curettage after uterine artery embolization (UAE) in the treatment of the cesarean scar pregnancy(CSP).Methods A retrospective analysis of 13 patients of CSP was performed.Results Except for 1 patient of resection of uterine for patient′s requiring hysterectomy, the remaining 12 patients were treated by uterine artery embolization combined with hysteroscopic uterine curettage and were cured.Conclusion The interventional therapy can rapidly stop bleading, effectively kill embryo, reduce the risk of bleeding and hysterectomy, and is the effective treatment method of CSP.
Key words:  Cesarean scar pregnancy(CSP)  Uterine artery embolization  Curettage