Effect of transvaginal ultrasonography assisted uterine artery chemoembolization combined with laparoscopic focal resection on pregnancy in the site of external caesarean section scar and its influence on prognosis
Effect of transvaginal ultrasonography assisted uterine artery chemoembolization combined with laparoscopic focal resection on pregnancy in the site of external caesarean section scar and its influence on prognosis
Objective To investigate the effect of transvaginal ultrasonography assisted uterine artery chemoembolization combined with laparoscopic resection of focal lesions in the treatment of external caesarean section scar site pregnancy and its impact on prognosis.Methods 60 pregnant patients with abnormal cesarean section scar site admitted to Linyi Central Hospital from April 2018 to April 2020 were included,and divided into laparoscopic group(30 cases)and ultrasound-assisted group(30 cases)according to different surgical methods,the treatment of the two groups was compared.Results Compared with the laparoscopic group,the amount of blood loss and operation time in the ultrasound-assisted group were less(P＜0.05).β-Human Chorionic Gonadotrophin(β-HCG),menstrual recovery time,and luteinizing hormone(FSH)in both groups before and after surgery,luteinizing hormone(LH),estradiol hormone(E2),anti-Mullerian hormone(AMH)and other secretory function indicators were compared with the incidence of postoperative adverse reactions,repregnancy and recurrence,the differences were not statistically significant(P＞0.05).Conclusion Transvaginal ultrasound-assisted uterine arterial chemoembolization combined with laparoscopic focal resection has significant clinical efficacy and good prognosis,and will not negatively affect the ovarian endocrine function and long-term pregnancy.
关键词
经阴道超声检查/子宫动脉化疗栓塞术/腹腔镜病灶切除术/瘢痕部位妊娠/预后
Key words
Transvaginal ultrasonography/Uterine artery chemoembolization/Laparoscopic focal resection/Scar site pregnancy/Prognosis
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