论文部分内容阅读
目的:分析以不同方法终止剖宫产术后疤痕处妊娠的临床结局。方法:根据不同终止妊娠的方法,将剖宫产术后疤痕处妊娠37例分为3组:A组16例为直接人工流产组,B组7例为药物流产组,C组14例为血管介入明胶海绵栓塞子宫动脉后人工流产组。分析各组的流产成功率、出血量、子宫状况、生命体征及不良反应等临床结局。结果:A、B及C组的流产成功率分别为18.75%、57.14%及100.00%,差异有统计学意义(P<0.05);阴道大出血发生率分别为68.75%、28.57%及0,差异有统计学意义(P<0.05),均无死亡病例。结论:疤痕妊娠流产大出血病情凶险,先予明胶海绵栓塞子宫动脉栓塞再行人工流产安全、经济、微创、疗效确切,值得临床推广。
PURPOSE: To analyze the clinical outcome of different gestational pregnancies after cesarean section termination. Methods: According to different methods of termination of pregnancy, 37 cases of scar after cesarean section were divided into 3 groups: 16 cases in group A were direct abortion group, 7 cases in group B were drug abortion group, 14 cases in group C were vascular Interventional gelatin sponge embolization of uterine artery after induced abortion group. Analysis of each group of abortion success rate, bleeding, uterine condition, vital signs and adverse reactions and other clinical outcomes. Results: The success rates of abortion in groups A, B and C were 18.75%, 57.14% and 100.00%, respectively, with significant difference (P <0.05). The incidence rates of vaginal bleeding were 68.75%, 28.57% and 0 Statistical significance (P <0.05), no deaths. Conclusion: It is dangerous to treat massive hemorrhage due to scar pregnancy. Gelatin sponge embolization of uterine arterial embolization should be performed first and then abortion should be safe, economical and minimally invasive. The curative effect is worthy of clinical promotion.