国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (4): 289-291.

• 论著 • 上一篇    下一篇

早期子宫瘢痕妊娠宫腔压迫止血31例临床分析

连成瑛，陈秀娟，黄小琛，倪翊华   

  1. 350001 福州，福建省妇幼保健院（福建医科大学教学医院）妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-07-15 发布日期:2016-07-15
  • 通讯作者: 连成瑛

Efficacy of Uterine Compression Hemostasis in the Treatment of 31 Cases of the First Trimester Cesarean Scar Pregnancy

LIAN Cheng-ying，CHEN Xiu-juan，HUANG Xiao-chen，NI Yi-hua   

  1. Department of Obstetrics and Gynecology，Fujian Maternity and Children Health Hospital，Teaching Hospital of Fujian Medical University，Fuzhou 350001，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-07-15 Online:2016-07-15

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摘要： 目的：探讨早期子宫瘢痕妊娠（cesarean scar pregnancy，CSP）宫腔压迫止血的方法及其有效性分析。方法：选取2010年1月—2014年12月在我院诊治的31例行宫腔压迫止血的CSP患者，对其临床资料进行回顾性分析。结果：共纳入31例患者，宫腔球囊压迫18例，宫腔填纱压迫13例。宫腔球囊注液量为7～60 mL，平均（26.88±17.72） mL。球囊放置时间为15～91 h，平均（34.94±20.62） h。球囊压迫期间阴道出血量2～360 mL，平均37.00（10.00，81.25） mL。宫腔填纱时间18～72 h，平均（39.15±14.68） h。宫腔填纱压迫期间阴道出血量5～55 mL，平均10.00（7.25，18.75） mL。宫腔球囊压迫成功率为94.4%（17/18），感染为率11.11%（2/18）；宫腔填纱成功率为92.3%（12/13），感染率为7.69%（1/13）。结论：CSP治疗中，宫腔球囊压迫、宫腔填纱压迫止血效果可靠、安全，操作简单，值得临床推广。

关键词: 瘢痕, 妊娠, 止血, 宫腔球囊, 宫腔填纱

Abstract: Objective: To investigate the hemostasis efficacy of intrauterine compression in the first trimester cesarean scar pregnancy. Methods：Thirty one patients with cesarean scar pregnancy underwent the uterine compression hemostasis and hospitalized at Fujian Maternal and Child Health Hospital from January 2010 to December 2014 were retrospectively analyzed. Results：There were 18 patients used uterine balloon compression hemostasis, and 13 patients used uterine yarn plug compression hemostasis. The average injection volume of balloon was （２6.88±17.7２） mL （７～６０ ｍＬ）． The average placed time of balloon was （３４.94±2０．６２） ｈ （１５～９１ ｈ）． The average amount of bleeding during uterine balloon compression was 37.00 （10.00, 81.2５） mL （2~360 mL）. The average placed time of uterine plug yarn was (39.15±14.68) h (18~72) h. The average amount of bleeding after the yarn plug compression hemostasis was 10.00（7.25，18.75） mL （5～55 mL）. The success rate of balloon compression hemostasis was 94.4% （17/18）, the rate of infection was 11.11%（2/18）. The success rate of uterine yarn plug hemostasis was 92.３％ （１2/13）, the rate of infection was 7.69%（1/13）. Conclusions：Both of the uterine balloon and the yarn plug compression hemostasis are effective and safe for CSP treatment and worth to be recommended to clinical treatment.

Key words: Cicatrix, Pregnancy, Hemostasis, Uterine balloon, Uterine plug yarn