子宫动脉化疗栓塞术对剖宫产瘢痕妊娠患者的应用价值
摘要
<正>剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)又被通俗性称为切口妊娠,系受精卵着床于剖宫产子宫切口处的一种异位妊娠。它具有限时定义早孕期(≤12周),易造成难以控制的大出血、子宫破裂等严重并发症,严重威胁患者生殖健康及生命~([1])。以往CSP大出血者不得以切除子宫挽救生命,失去了生育能力并给身心造成巨大创伤。子
引文
[1]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].中华妇产科杂志,2016,51(8):568-572.
[2]Litwicka K,Greco E.Caesearean scar pregnancy:a review of management options[J].Curr Opin Obestet Gynecol,2013,25(6):456-461.
[3]Larsen JV,Solomon MH.Pregnancy in a uterine scar sacculus:An unusual cause of postabortal haemorrhage.Acase report[J].S Afr Med J,1978,53(4):142-143.
[4]Seow KM,Huang LW,Lin YH,et al.Caesaren scar pregnancy:issues in management[J].Ultrasound Obestet Gynecol,2004,23(3):247-253.
[5]中华医学会计划生育学分会.剖宫产瘢痕妊娠诊断与治疗共识[J].中华医学杂志,2012,92(25):1731-1733.
[6]He YF,WU X,Zhu QJ,et al.Combined Laparoscopy and hysteroscopy vs.uterine curettage in the uterine artery embolization-based management of cesarean scar pregnancy:a retrospective cobort study[J].BMC Women’s Health,2014,14:116.
[7]邵华江,马建婷,杨秀儿,等.剖宫产瘢痕妊娠诊治方法探讨[J].中华医学杂志,2010,90:2616-2619.
[8]Rotas MA,Haberman S,Levgur M.Cesarean scar ectopic pregnancies:etiology,diagnosis,and management[J].Obestet Gynecol,2006,107:1373-1381.
[9]全力.剖宫产瘢痕妊娠期待治疗的利与弊[J].中国实用妇科与产科杂志,2018,34(8):850-853.
[10]Birch PK,Hoffmann E,Rifbjerg LC,et al.Cesarean scar pregnancy:a systematic review of treatment studies[J].Fertil Steril,2016,105(4):958-967.
[11]Ravina JH,Herbreteau D,Vigeron NC,et al.Arterial embolization to treat uterine myomata[J].Lancet,1995,346:671-672.
[12]王乔,赵霞.剖宫产瘢痕妊娠的介入治疗[J].中国实用妇科与产科杂志,2018,34(8):847-850.
[13]刘士梅,史琳,王飞.甲氨蝶呤联合米非司酮在中期剖宫产瘢痕妊娠的应用[J].河北医科大学学报,2014,35(2):226-227.
[14]Ma Y,Yang C,Shao X.Efficacy comparison of transcatheter arterial embolization with gelatin sponge and polyvinyl alcohol particles for the management of cesarean scar pregnancy[J].JObstet Gynaecol Res,2017.doi:10,1111/joy,13256.
[15]江涛,吴美玲,刘勇.超选择性子宫动脉栓塞在妇产科出血性疾病的临床疗效观察[J].江西医药,2013,48(8):718-719.
[16]艾小燕,程玉芬,李霞青,等.3种微创手术方法治疗子宫切口妊娠的探讨[J].江西医药,2016,51(6):510-513.
[17]Wang Q,Ma H,Peng H,et al.Risk factors for intra-operative haemorhage and bleeding risk scoring system for caesarean scar pregnancy:a case-control studay[J].Eur J Obstet Gynecol Reprod Biol,2015,195:141-145.
[18]Kutuk MS,Uysal G,Dolanbay M,et al.Successful medical treatment of cesarean scar ectopicpregnancies with systemic multidose methotrexate:single-center experience[J].J Obstet Gynaecol Res,2014,40(6):1700-1706.
[19]叶天和,潘峰,周国峰,等.子宫动脉化疗栓塞术治疗瘢痕妊娠:临床疗效评价及并发症分析[J].影像诊断与介入放射学,2017,26(6):456-460.
[20]Maymon R,Halperin R,Mendlovic S,et al.Ectopic pregnancies in a Cearean scar:review of the medical approach to an introgeiatrogenic complication[J].Human Reproduction Update,2004,10(6):515-523.
[21]周景俭,刘宵妮,王晓晖,等.子宫动脉栓塞术在剖宫产后子宫瘢痕妊娠中的应用[J].江西医药,2012,47(10):905-907.
[2]Litwicka K,Greco E.Caesearean scar pregnancy:a review of management options[J].Curr Opin Obestet Gynecol,2013,25(6):456-461.
[3]Larsen JV,Solomon MH.Pregnancy in a uterine scar sacculus:An unusual cause of postabortal haemorrhage.Acase report[J].S Afr Med J,1978,53(4):142-143.
[4]Seow KM,Huang LW,Lin YH,et al.Caesaren scar pregnancy:issues in management[J].Ultrasound Obestet Gynecol,2004,23(3):247-253.
[5]中华医学会计划生育学分会.剖宫产瘢痕妊娠诊断与治疗共识[J].中华医学杂志,2012,92(25):1731-1733.
[6]He YF,WU X,Zhu QJ,et al.Combined Laparoscopy and hysteroscopy vs.uterine curettage in the uterine artery embolization-based management of cesarean scar pregnancy:a retrospective cobort study[J].BMC Women’s Health,2014,14:116.
[7]邵华江,马建婷,杨秀儿,等.剖宫产瘢痕妊娠诊治方法探讨[J].中华医学杂志,2010,90:2616-2619.
[8]Rotas MA,Haberman S,Levgur M.Cesarean scar ectopic pregnancies:etiology,diagnosis,and management[J].Obestet Gynecol,2006,107:1373-1381.
[9]全力.剖宫产瘢痕妊娠期待治疗的利与弊[J].中国实用妇科与产科杂志,2018,34(8):850-853.
[10]Birch PK,Hoffmann E,Rifbjerg LC,et al.Cesarean scar pregnancy:a systematic review of treatment studies[J].Fertil Steril,2016,105(4):958-967.
[11]Ravina JH,Herbreteau D,Vigeron NC,et al.Arterial embolization to treat uterine myomata[J].Lancet,1995,346:671-672.
[12]王乔,赵霞.剖宫产瘢痕妊娠的介入治疗[J].中国实用妇科与产科杂志,2018,34(8):847-850.
[13]刘士梅,史琳,王飞.甲氨蝶呤联合米非司酮在中期剖宫产瘢痕妊娠的应用[J].河北医科大学学报,2014,35(2):226-227.
[14]Ma Y,Yang C,Shao X.Efficacy comparison of transcatheter arterial embolization with gelatin sponge and polyvinyl alcohol particles for the management of cesarean scar pregnancy[J].JObstet Gynaecol Res,2017.doi:10,1111/joy,13256.
[15]江涛,吴美玲,刘勇.超选择性子宫动脉栓塞在妇产科出血性疾病的临床疗效观察[J].江西医药,2013,48(8):718-719.
[16]艾小燕,程玉芬,李霞青,等.3种微创手术方法治疗子宫切口妊娠的探讨[J].江西医药,2016,51(6):510-513.
[17]Wang Q,Ma H,Peng H,et al.Risk factors for intra-operative haemorhage and bleeding risk scoring system for caesarean scar pregnancy:a case-control studay[J].Eur J Obstet Gynecol Reprod Biol,2015,195:141-145.
[18]Kutuk MS,Uysal G,Dolanbay M,et al.Successful medical treatment of cesarean scar ectopicpregnancies with systemic multidose methotrexate:single-center experience[J].J Obstet Gynaecol Res,2014,40(6):1700-1706.
[19]叶天和,潘峰,周国峰,等.子宫动脉化疗栓塞术治疗瘢痕妊娠:临床疗效评价及并发症分析[J].影像诊断与介入放射学,2017,26(6):456-460.
[20]Maymon R,Halperin R,Mendlovic S,et al.Ectopic pregnancies in a Cearean scar:review of the medical approach to an introgeiatrogenic complication[J].Human Reproduction Update,2004,10(6):515-523.
[21]周景俭,刘宵妮,王晓晖,等.子宫动脉栓塞术在剖宫产后子宫瘢痕妊娠中的应用[J].江西医药,2012,47(10):905-907.