[1]周丽.不同治疗方案对剖宫产术后瘢痕妊娠临床疗效 以及安全性评价[J].中国计划生育和妇产科,2018,(2):52-56.
 ZHOU Li.Clinical efficacy and safety evaluation of different treatment in cesarean scar pregnancy[J].Chinese Journal of Family Planning & Gynecotokology,2018,(2):52-56.
点击复制

不同治疗方案对剖宫产术后瘢痕妊娠临床疗效 以及安全性评价
分享到:

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年2期
页码:
52-56
栏目:
论著与临床
出版日期:
2018-02-25

文章信息/Info

Title:
Clinical efficacy and safety evaluation of different treatment in cesarean scar pregnancy
作者:
周丽
新都区妇幼保健院妇产科
Author(s):
ZHOU Li
Department of Obstetrics and Gynecology, Chengdu Xindu Maternal and Child Health Care Hospital, Chengdu Sichuan 610500,P.R.China
关键词:
剖宫产术后瘢痕妊娠子宫动脉栓塞术瘢痕妊娠病灶清除术子宫肌壁修补术
Keywords:
cesarean scar pregnancy uterine artery embolization transvaginal cesarean scar pregnancy debridement surgerylaparoscopic cesarean scar pregnancy debridement surgery myometrium neoplasty
分类号:
R 7198
摘要:
目的比较并探讨不同治疗方案对剖宫产术后瘢痕妊娠(cesarean scar pregnancy ,CSP)的临床疗效及安全性。方法选取2010年1月至2017年5月期间在新都区妇幼保健院接受治疗的421例CSP患者,分为子宫动脉栓塞术+清宫术组(A组, 157例)、阴式子宫瘢痕妊娠病灶清除术+子宫肌壁修补术组(B组, 139例)和腹腔镜子宫瘢痕妊娠病灶清除术+子宫肌壁修补术组(C组, 125例)。比较3组患者的手术时间、术中失血量、术后住院天数、术后并发症、阴道流血情况、月经复潮时间;并检测术前和术后24
Abstract:
ObjectiveTo compare and discuss the clinical effect and safety of three treatment plans for cesarean scar pregnancy (CSP). Methods421 CSP patients in Chengdu Xindu Maternal and Child Health Care Hospital from January 2010 to May 2017 were selected as the

参考文献/References:

[1]WANG Y-j, ZHAI Y, ZHANG Z-y, et al. Clinical features and outcome of cesarean scar pregnancy [J]. Zhonghua yi xue za zhi, 2017, 97(13): 986-990. [2]李莉.剖宫产子宫瘢痕妊娠的早期诊断及治疗分析 [J].安徽医药,2015,19(6):1137-1139. [3]陶应珍,张继军.子宫瘢痕部位妊娠的诊断与治疗 [J].新疆医学,2015,45(11):1610-1621. [4]Chiang YC, Tu YA, Yang JH,et al.Risk factors associated with failure of treatment for cesarean scar pregnancy [J].Int J Gynaecol Obstet,2017,138(1):28. [5]GONZALEZ N, TULANDI T. Cesarean scar pregnancy: a systematic review [J]. Journal of Minimally Invasive Gynecology, 2017, 24(5): 731-738. [6]GODIN P A, BASSIL S, DONNEZ J. An ectopic pregnancy developing in a previous caesarian section scar [J]. Fertility and Sterility, 1997, 67(2): 398-400. [7]ZHANG H, HUANG J, WU X, et al. Clinical classification and treatment of cesarean scar pregnancy [J]. The Journal of Obstetrics and Gynaecology Research, 2017, 43(4): 653-661. [8]KANAT-PEKTAS M. Response to "the first-line approach for cesarean scar pregnancy: the most adopted being not the best" [J]. Taiwanese Journal of Obstetrics & Gynecology, 2016, 55(5): 764-765. [9]邵明明,蔡爱露,王晓光,等.三维断层超声显像诊断瘢痕子宫妊娠 [J].中国医学影像技术,2015,31(6):893-896. [10]OUYANG Z-b, LI H-w, QUAN S. The first-line approach for cesarean scar pregnancy:The most adopted being not the best [J]. Taiwanese Journal of Obstetrics & Gynecology, 2016, 55(5): 761-762. [11]顾祝新,黄建,赵辉.子宫瘢痕妊娠的诊治进展 [J].介入放射学杂志,2015,24(8):742-745. [12]LU J-y, GU J-p, XU W-j, et al. Clinical application and prognostic analysis of interventional treatment for cesarean scar pregnancy [J]. Beijing da xue xue bao(Yi xue Ban), 2016, 48(6): 1012-1018. [13]CHEN Yu-qing, LIU Hua-shan, LI Wen-xin, et al. Efficacy of transvaginal debridement and repair surgery for cesarean scar pregnancy: a cohort study compared with uterine artery embolism [J]. International Journal of Clinical and Experimental Medicine, 2015, 8(11): 21187-21193. [14]曾兆君,吴大保.阴式子宫切口瘢痕妊娠病灶清除术在剖宫产切口瘢痕妊娠中的应用[J].安徽医药,2014,18(10):1949-1950. [15]李萍.阴式子宫瘢痕妊娠病灶切除术临床分析 [J].临床医药实践,2014,23(10):752-754. [16]邓子宋.经阴道行剖宫产后子宫瘢痕妊娠病灶清除术的临床应用 [J].河南医学研究,2017,26(7):1263-1264. [17]SHI Jun-rong, QIN Jin-jin, WANG Wei-ming, et al. Clinical study on 57 cases with caesarean scar pregnancy [J]. Zhonghua fu chan ke za zhi, 2014, 49(1): 18-21. [18]赵彦婷,刘彦肖,郝国荣.三种不同治疗方案在剖宫产术后子宫瘢痕妊娠的应用效果 [J].中国医疗导报,2016,12(13):129-132.

相似文献/References:

[1]孙广范,林霞,尚雪,等.剖宫产术后子宫切口瘢痕妊娠的诊断及临床治疗分析[J].中国计划生育和妇产科,2013,(03):0.
 SUN Guang - fan *,LIN Xia,SHANG Xue,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2013,(2):0.
[2]薛云萍,顾林,钱宇佳,等.109例子宫瘢痕妊娠诊治分析[J].中国计划生育和妇产科,2016,(01):0.
 XUE Yun-ping,GU Lin,QIAN Yu-jia,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2016,(2):0.
[3]韩艳*,张俊娣,杨露.子宫动脉栓塞术对剖宫产瘢痕妊娠清宫效果的影响及安全性[J].中国计划生育和妇产科,2017,(2):29.
 HAN Yan*,ZHANG Jun-di,YANG Lu.Effect of uterine arterial embolization on the effect of uterus clearing of cesarean section scar pregnancy and its safety[J].Chinese Journal of Family Planning & Gynecotokology,2017,(2):29.
[4]石晓燕*,汪钰清,李琼.阴式剖宫产瘢痕妊娠组织清除术与子宫动脉栓塞术联合刮宫术的效果比较[J].中国计划生育和妇产科,2017,(11):38.
 SHI Xiao-yan*,WANG Yu-qing,LI Qiong.Comparison of the effect of vaginal cesarean scar pregnancy tissue removal and uterine artery embolization combined with curettage[J].Chinese Journal of Family Planning & Gynecotokology,2017,(2):38.
[5]马俊*,陈葵喜,程珊,等.子宫动脉栓塞术治疗凶险性前置胎盘的应用效果评价[J].中国计划生育和妇产科,2017,(11):43.
 MA Jun*,CHEN Kui-xi,CHENG Shan,et al.Evaluation of the effect of uterine artery embolization in the treatment of dangerous placenta previa[J].Chinese Journal of Family Planning & Gynecotokology,2017,(2):43.
[6]李萍,赵虎,肖雄,等.不同介入阻断术对凶险性前置胎盘患者临床结局的影响[J].中国计划生育和妇产科,2020,(4):41.
 LI Ping,ZHAO Hu,XIAO Xiong,et al.Effects of different interventional block surgery on clinical outcomes of patients with dangerous placenta previa[J].Chinese Journal of Family Planning & Gynecotokology,2020,(2):41.

更新日期/Last Update: 2018-02-25