Effect of Hysteroscopic Combined with Uterine Artery Embolization for the Treatment of Ectopic Pregnancy after Cesarean Section and its Safety Analysis
LI Na
The People's Hospital of Fuyang, Anhui Fuyang 236006, China
Abstract：Objective: To investigate the efficacy and safety of hysteroscopic and uterine artery embolization in the treatment of cesarean scar pregnancy. Methods: 70 cases of cesarean scar pregnancy that were admitted from January 2015 to June 2017 were randomly divided into two groups. Patients in the embolization group were given traditional treatment. Hysteroscopy combined with uterine artery embolization was performed in the combined group. Comparing the perioperative indexes, adverse reactions or complication rate, lesion diameter, β-HCG level and long-term quality of life between the two groups. Results: Intraoperative blood loss (32.08±9.12), mass loss time (5.36±0.78), β-HCG negative time (4.77±0.60), menstrual recovery time (5.09±0.79) and length of stay (6.29±) 0.66) were significantly lower than the traditional group (52.43±10.85, 7.04±1.16, 5.72±0.89, 6.31±0.80, 8.03±0.71); the lesion diameter (30.44±7.07) and β-HCG levels (4720±531) after treatment Comparison between groups was significantly lower than the traditional group (36.38±7.46, 6035±712); 6 months after treatment, physiological function (71.25±8.04), role limitation (83.12±8.78), body pain (75.60±8.31), overall The difference between healthy (72.90±7.67) and vitality score (85.12±8.40) groups was significantly higher than that of the traditional group (62.47±7.95, 74.56±7.83, 67.13±8.22, 64.78±7.96, 76.45±8.70). There was a significant difference. (P<0.01); There was no significant difference in overall adverse reactions or complication rates between the two groups (P>0.05). Conclusion: Hysteroscopy and uterine artery embolization are effective and safe for cesarean scar pregnancy.
李娜. 宫腔镜联合子宫动脉栓塞术对剖宫产术后瘢痕异位妊娠的治疗效果及安全性分析[J]. 河北医学, 2018, 24(8): 1332-1335.
LI Na. Effect of Hysteroscopic Combined with Uterine Artery Embolization for the Treatment of Ectopic Pregnancy after Cesarean Section and its Safety Analysis. HeBei Med, 2018, 24(8): 1332-1335.
[1] 贺海斌,胡燕,蒋本贵.子宫动脉栓塞术治疗剖宫产术后子宫瘢痕妊娠112例临床分析[J].中国综合临床,2013,29(9):997~1000. [2] 陈镘如,梅立,谢兰,等.外生型剖宫产瘢痕妊娠三种治疗方法的对比研究[J].实用妇产科杂志,2015,31(4):278~281. [3] Tirso Perez-Medina,Javier Sancho-Sauco,Mar Rios,et al. Hysteroscopy in pregnancy-related conditions: descriptive analysis in 273 patients[J]. The Journal of Minimally Invasive Gynecology,2014,21(3): 417~425. [4] 王素华.剖宫产切口瘢痕妊娠患者采用宫腔镜及子宫动脉栓塞术联合治疗的效果及安全性分析[J].中国内镜杂志,2016,22(9):84~87. [5] 王捷文,李红雨.子宫动脉栓塞术结合宫腔镜清宫和甲氨蝶呤结合宫腔镜清宫治疗剖宫产瘢痕妊娠疗效对比[J].中国临床医生杂志,2017,45(6):105~106. [6] 王远航,韩宇宁,刘佳,等.子宫动脉栓塞术后经阴道与经宫腔镜治疗外生型剖宫产瘢痕妊娠临床疗效分析[J].现代生物医学进展,2017,17(6):1086~1089. [7] 方向明,杜炜杰,金碧辉,等.子宫动脉栓塞联合宫腔镜专用取物钳治疗剖宫产瘢痕妊娠:附28例分析[J].中国内镜杂志,2014,20(6):603~606. [8] Donald L. Fylstra. Hysteroscopy and suction evacuation of cesarean scar pregnancies: A case report and review[J]. Journal of Obstetrics and Gynaecology Research,2014,40(3): 853~857. [9] 陈正云,张信关,许泓,等.宫腔镜联合子宫动脉栓塞术终止剖宫产术后子宫瘢痕妊娠的疗效与安全性[J].中华妇产科杂志,2011,46(8):591~594. [10] Antonio Mollo,Carlo Alviggi,Alessandro Conforti,et al. Intact removal of spontaneous twin ectopic caesarean scar pregnancy by office hysteroscopy: case report and literature review[J]. Reproductive BioMedicine Online,2014,29(5): 530~533. [11] 王利英,潘丽翔.宫腔镜与子宫动脉栓塞术联合治疗剖宫产切口瘢痕妊娠的可行性研究[J].中国基层医药,2015,22(2):280~281.
2018, Vol. 24 
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