国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2011, Vol. 30 ›› Issue (6): 438-439.

• 论著 • 上一篇    下一篇

腹腔镜子宫动脉结扎术在宫颈或瘢痕切口妊娠治疗中的应用

吴晓兰, 刘 帅   

  1. 611130 成都市第五人民医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-11-15 发布日期:2011-11-15

Application of Laparoscopic Uterine Artery Ligation in the Treatment of Cervical or Cesarean Cicatrix Pregnancy

WU Xiao-lan， LIU Shuai   

  1. The Fifth of Chengdu People’s Hospital， Chengdu 611130， China
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-11-15 Online:2011-11-15

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摘要： 目的：探讨腹腔镜子宫动脉结扎术在宫颈或瘢痕切口妊娠中的临床疗效。方法：回顾性分析64例宫颈或瘢痕切口妊娠患者，用甲氨蝶呤杀胚治疗后分为2组：腹腔镜辅助治疗组行清宫术前先行腹腔镜子宫动脉结扎术；常规治疗组直接行清宫术。分析2组术中出血量、临床疗效及全身不良反应。结果：先行子宫动脉结扎术再行清宫术与直接行清宫术比较，术中出血量少、临床疗效好；均未见明显的不良反应。结论：腹腔镜子宫动脉结扎术在宫颈或瘢痕切口妊娠治疗中应用安全有效。

关键词: 子宫, 动脉, 腹腔镜检查, 结扎术, 子宫颈, 妊娠, 异位, 治疗

Abstract: Objective： To evaluate the curative effect of laparoscopic uterine artery ligation（LUAL） in the treatment of cervical or cesarean cicatrix pregnancy. Methods： Sixty-four cases of cervical or cesarean cicatrix pregnancy were retrospective analyzed. Cases were divided to two groups: one group was LUAL before curettage, another was simple curettage. The hemorrhage，curative effect and adverse reaction in two groups were compared. Results： The group of curettage with foregoing LUAL had less hemorrhage and better curative effect than control, without increasing the adverse reactions. Conclusions：LUAL is safe and effective in the treatment of cervical or cesarean cicatrix pregnancy.

Key words: Uterus, Arteries, Laparoscopy, Ligation, Cervix uteri, Pregnancy, ectopic, Therapy