Objective: To investigate the therapeutic effect of laparoscopic uterine artery temporarily block in cesarean pregnancy. Methods: A total of 60 cases of cesarean scar pregnancy (CSP) were selected from Shenzhen Hospital of Integrated Traditional and Western Medicine from May 2019 to May 2021.They were divided into the experimental group and the control group with 30 cases in each group according to the random number table.The experimental group was the one which was excision of cesarean scar pregnancy after laparoscopic uterine artery temporarily blocking, and the control group was the one which was excision of cesarean scar pregnancy after uterine artery embolism.The treatment success rate, operation time, intraoperative blood loss, hospital stay, adverse reactions, postoperative march endometrial thickness and endometrial blood supply were compared between the two groups. Results: The time in the in-department was (7.3±3.3) and (8.9±4.2)days in the experimental group and control group respectively.The hospitalization expenses were (13 566.3±1 967.2) and (19 250.6±1 639.5) yuan; The incidence of side reaction were 16.7 % and 56.7 % respectively.The endometrial thickness was (8.2±1.4) and (6.3±1.6) mm respectively after three months.The differences between the two groups were statisticaliy significant (P<0.05).The treatment success rate of the two groups were 97.6 % and 95.9 % respectively; The operation time was (94.7±15.2)min and (101.3±17.4)min respectively, the intraoperative blood loss was(125.3±35.2)mL and(123.6±67.3)mL respectively, The differences between the two groups were not statisticaliy significant (P>0.05). Conclusion: Compared with the control group (laparoscopic cesarean scar pregnancy lesion removal after uterine artery embolism), the experimental group (laparoscopic cesarean scar pregnancy lesion removal after uterine artery temporarily blocking) in the treatment of cesarean scar pregnancy has higher success rate and safety, shorter hospitalization time, lower cost, less bleeding and postoperative treatment side effects, which is worth recommending.
刘琼芬
,
生秀杰
,
吕永革
,
沈琳
,
王炎
. Clinical study of laparoscopic uterine artery temporarily block in cesarean pregnancy[J]. Journal of Baotou Medical College, 2022
, 38(9)
: 40
-43
.
DOI: 10.16833/j.cnki.jbmc.2022.09.009
[1] Litwicka K,Greco E.Caesarean scar pregnancy:a review of management options [J].Curr Opin Obstet Gynecol,2013,25(6):456-461.
[2] 中华医学会妇产科学分会计划生育学组.剖宫产术后子宫瘢痕妊娠诊治专家共识(2016)[J].全科医学临床与教育,2017,15(1):5-9.
[3] 袁岩,戴晴,蔡胜.超声在剖宫产瘢痕妊娠诊断的诊断价值[J].中华超声影像学杂志,2010,19(4):321-324.
[4] 刘真真,戴晴,王铭.包块型剖宫产瘢痕妊娠临床及超声特征分析[J].中国医学影像技术,2013,29(6):1006-1010.
[5] 徐玉静,付锦华,褚玉静.剖宫产瘢痕妊娠数字化三维模型在其子宫动脉栓塞术中的应用[J].实用妇产科杂志,2013,29(4):286-289.
[6] 叶青剑, 邓佩霞,沈晓婷,等.剖宫产切口瘢痕妊娠分析[J].中山大学学报(医学科学版),2017,38(4):596-600.
[7] Kiyak H,Wetherilt LS,Seckin KD,et al.Laparoscopic excision of a scar pregnancy and isthmocele repair[J].J Minim Invasive Gynecol,2018,25:582.
[8] 孟宁,何林生,尹春华.腹腔镜子宫动脉暂时阻断术与子宫动脉栓塞术治疗Ⅲ型子宫瘢痕妊娠的疗效分析 [J].实用妇产科杂志,2019,35(06):475-477.
[9] 宋冬梅,夏恩兰,LI Tin-chiu,等.子宫动脉栓塞后宫腔粘连生殖预后分析--附26例报告[J].国际妇产科学杂志,2014,41(5):513-517,581.
[10] 陈家莲,刘佳.子宫动脉暂时阻断在子宫肌瘤剔除术中的疗效分析[J].河北医学,2014,20(9):1452-1455.
[11] 张庆兵.LM术中子宫动脉暂时阻断的意义分析[J].湖南师范大学学报(医学版),2018,15(2):60-63.