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1、剖宮產(chǎn)瘢痕部位妊娠臨床治療分析郭紅霞1孫璐1耿旭2(宿遷市沐陽(yáng)縣屮醫(yī)院，江蘇宿遷223600,1婦產(chǎn)科，2介入科)【摘要】目的：探討分析治療剖宮產(chǎn)疤痕部位妊娠(CSP)的臨床療效。方法：回顧性分析78例CSP患者的臨床資料，將其依據(jù)治療方式分為對(duì)照組(MTX+清宮術(shù))27例及實(shí)驗(yàn)組(子宮動(dòng)脈化療栓塞+清宮術(shù))51例,比較兩組的臨床及隨訪資料。結(jié)果:實(shí)驗(yàn)組II、III型例數(shù)和治療前血伕HCG水平、病灶體積、住院費(fèi)用高于對(duì)照組，妊娠囊附著處肌層厚度、術(shù)中出血量、住院時(shí)間、血價(jià)HCG降至正常時(shí)間則小于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義(Pv0?0
2、5)；兩組治療成功率、轉(zhuǎn)經(jīng)時(shí)間比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0?05)。結(jié)論：CSP治療應(yīng)綜合臨床分型、血價(jià)HCG水平、病灶體積等因素進(jìn)行個(gè)體化治療；UACE配合清宮術(shù)療效滿意、安全可行，值得臨床推廣?！娟P(guān)鍵詞】剖宮產(chǎn)瘢痕部位妊娠(CSP)；子宮動(dòng)脈化療栓塞(UACE)；B超引導(dǎo)下清宮術(shù)ClinicaltreatmentofcesareansectionscarpregnancyGuoHongxia1,sunLu1,GengXu2.(ShuyangHospitalofTraditionalChineseMedicineofSuqian
3、,SuqianJiangsu223600,1gynaecologyandobstetricst2InvasiveTechnologyDepartment).AbstractobjectiveToinvestigatetheclinicaleffectofthetreatmentofcesareansectionscarpregnancy(csp).methodsRetrospectiveanalysisoftheclinicaldataof78patientswithCSP,whichaccordingtothetreatment
4、methodsweredividedintocontrolgroup(27caseswithMTX+andcurettage)andexperimentalgroup(uterinearteryembolization+curettage)in51cases,clinicalandfollow-updata剖宮產(chǎn)瘢痕部位妊娠臨床治療分析郭紅霞1孫璐1耿旭2(宿遷市沐陽(yáng)縣屮醫(yī)院，江蘇宿遷223600,1婦產(chǎn)科，2介入科)【摘要】目的：探討分析治療剖宮產(chǎn)疤痕部位妊娠(CSP)的臨床療效。方法：回顧性分析78例CSP患者的臨床資料，將其
5、依據(jù)治療方式分為對(duì)照組(MTX+清宮術(shù))27例及實(shí)驗(yàn)組(子宮動(dòng)脈化療栓塞+清宮術(shù))51例,比較兩組的臨床及隨訪資料。結(jié)果:實(shí)驗(yàn)組II、III型例數(shù)和治療前血伕HCG水平、病灶體積、住院費(fèi)用高于對(duì)照組，妊娠囊附著處肌層厚度、術(shù)中出血量、住院時(shí)間、血價(jià)HCG降至正常時(shí)間則小于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義(Pv0?05)；兩組治療成功率、轉(zhuǎn)經(jīng)時(shí)間比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0?05)。結(jié)論：CSP治療應(yīng)綜合臨床分型、血價(jià)HCG水平、病灶體積等因素進(jìn)行個(gè)體化治療；UACE配合清宮術(shù)療效滿意、安全可行，值得臨床推廣?！娟P(guān)鍵詞】剖宮產(chǎn)瘢痕部位妊娠(
6、CSP)；子宮動(dòng)脈化療栓塞(UACE)；B超引導(dǎo)下清宮術(shù)ClinicaltreatmentofcesareansectionscarpregnancyGuoHongxia1,sunLu1,GengXu2.(ShuyangHospitalofTraditionalChineseMedicineofSuqian,SuqianJiangsu223600,1gynaecologyandobstetricst2InvasiveTechnologyDepartment).AbstractobjectiveToinvestigatethecli
7、nicaleffectofthetreatmentofcesareansectionscarpregnancy(csp).methodsRetrospectiveanalysisoftheclinicaldataof78patientswithCSP,whichaccordingtothetreatmentmethodsweredividedintocontrolgroup(27caseswithMTX+andcurettage)andexperimentalgroup(uterinearteryembolization+cure
8、ttage)in51cases,clinicalandfollow-updata剖宮產(chǎn)瘢痕部位妊娠臨床治療分析郭紅霞1孫璐1耿旭2(宿遷市沐陽(yáng)縣屮醫(yī)院，江蘇宿遷223600,1婦產(chǎn)科，2介入科)【摘要】目的：探討分析治療剖宮產(chǎn)疤痕部位妊娠(CSP)
