经脐单孔腹腔镜下子宫动脉阻断术联合切开取胚术治疗剖宫产瘢痕部位妊娠的安全性及可行性分析
Safety and feasibility of transumbilical single-port laparoscopic uterine artery embolization combined with surgical embryo retrieval for the treatment of cesarean scar pregnancy
李孟春 1何静 1冯君 1张跃明 1侯文杰1
作者信息
- 1. 215000 苏州,苏州大学附属第四医院(苏州市独墅湖医院)妇产科
- 折叠
摘要
目的 分析经脐单孔腹腔镜下子宫动脉阻断术联合切开取胚术在治疗剖宫产瘢痕部位妊娠(CSP)的安全性及可行性.方法 选取行经脐单孔腹腔镜下子宫动脉阻断术联合切开取胚术的 11 例CSP患者作为研究组,行多孔腹腔镜下子宫动脉阻断术联合切开取胚术的10例CSP患者作为对照组,比较2组的基线资料及围术期相关临床数据.结果 经脐单孔腹腔镜组与对照组的患者年龄、妊娠次数、剖宫产次数、距上次剖宫产时间、临床分型、停经时间以及有无阴道出血症状比较差异无统计学意义(P均>0.05).2 组的手术时间、术中出血量、术后保留导尿时间比较差异亦无统计学意义(P均>0.05).经脐单孔腹腔镜组的术后疼痛数字等级评定量表评分低于对照组,住院时间短于对照组(P均<0.05).结论 经脐单孔腹腔镜下子宫动脉阻断术联合切开取胚术与传统多孔腹腔镜下子宫动脉阻断术联合切开取胚术相比,能减轻CSP患者术后疼痛及缩短住院时间,且安全性相当,美容效果更好,具有可行性.
Abstract
Objective To evaluate the safety and feasibility of transumbilical single-port laparoscopic uterine artery embolization combined with incision and embryo retrieval in the treatment of cesarean scar pregnancy.Methods Eleven patients with cesarean scar pregnancy who underwent transumbilical single-hole laparoscopic uterine artery embolization combined with incision and embryo retrieval were recruited in the study group,and ten patients who underwent multi-hole laparoscopic uterine artery embolization combined with incision and embryo retrieval were assigned into the control group.Baseline data and perioperative clinical data were compared between two groups.Results No significant differences were found in age,number of pregnancies,number of cesarean sections,time interval from last cesarean section,clinical classification,number of days of menopause,and the presence or absence of symptoms of vaginal bleeding between two groups(all P>0.05).No significant differences were observed in operation time,intraoperative bleeding and postoperative retention time of catheterization between two groups(all P>0.05).In the study group,postoperative numeric rating scale(NRS)score was significantly lower and the length of hospital stay was significantly shorter compared with those in the control group(both P<0.05).Conclusions Compared with traditional multi-port laparoscopic uterine artery embolization combined with incision and embryo retrieval,transumbilical single-port laparoscopic uterine artery embolization combined with incision and embryo retrieval is a feasible and safe procedure,which can alleviate postoperative pain,shortern the length of hospital stay and yield better cosmetic results.
关键词
瘢痕部位妊娠/经脐单孔腹腔镜/子宫动脉阻断术/加速康复Key words
Cesarean scar pregnancy/Transumbilical single-port laparoscopy/Uterine artery embolization/Accelerated recovery引用本文复制引用
基金项目
苏州市自贸区生物医药创新发展强链补链科技专项(SZM2022008)
苏州大学新型功能高分子材料国家地方联合工程实验室开放基金(SDGC2204)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据