The clinical value of Foley bladder in the treatment of the cesarean scar pregnancy

SUN Wen-jie; et al

doi:10.13406/j.cnki.cyxb.2010.07.022

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The clinical value of Foley bladder in the treatment of the cesarean scar pregnancy

更新时间：2024-01-17

- The clinical value of Foley bladder in the treatment of the cesarean scar pregnancy
- Journal of Chongqing Medical University Vol. 35, Issue 7, Pages: 1111-1113(2010)
- 作者机构：
  
  重庆市妇幼保健院妇产科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.07.022
  CLC： R719.8
- Published：2010，
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[1]孙文洁,林奕,李莉,魏俊.Foley水囊在剖宫产后瘢痕部位妊娠治疗中的临床价值[J].重庆医科大学学报,2010,35(07):1111-1113.

SUN Wen-jie, et al. The clinical value of Foley bladder in the treatment of the cesarean scar pregnancy. [J]. Journal of Chongqing Medical University 35(7):1111-1113(2010)
[1]孙文洁,林奕,李莉,魏俊.Foley水囊在剖宫产后瘢痕部位妊娠治疗中的临床价值[J].重庆医科大学学报,2010,35(07):1111-1113. DOI： 10.13406/j.cnki.cyxb.2010.07.022.

SUN Wen-jie, et al. The clinical value of Foley bladder in the treatment of the cesarean scar pregnancy. [J]. Journal of Chongqing Medical University 35(7):1111-1113(2010) DOI： 10.13406/j.cnki.cyxb.2010.07.022.

摘要

目的:探讨在剖宫产术后瘢痕部位妊娠（Cesarean scar pregnancy

CSP）治疗中Foley水囊的应用价值。方法:回顾分析本院4年间（2006年1月～2009年12月）收治20例剖宫产术后瘢痕部位妊娠

经过甲氨蝶呤（MTX）+米非司酮药物治疗后

血清人绒毛膜促性腺激素（β-Serum human chorionic gonadotropin

β-HCG）下降至5000IU/L以下在超声引导下行刮宫术和子宫下段Foley水囊压迫法止血。结果:17例刮宫术中平均出血量（279.0±63.9）ml

Foley水囊压迫后出血量平均为（65.0±19.8）ml;Foley水囊在子宫的存留时间平均为（38.0±11.1）h

17例治愈出院;1例全子宫切除、1例次全子宫切除、1例子宫瘢痕部位锲形切除。结论:Foley水囊压迫法在子宫瘢痕部位妊娠治疗中

对预防刮宫术后出血是有效的

特别在基层医院有一定的临床应用价值。

Abstract

Objective:To explore the clinical value of Foley bladder in the treatment of the cesarean scar pregnancy(CSP).Methods: Twenty patients with CSP in Chongqing Health Center for Women and Children from Jan 2006 to Dec 2009 were stutied.All patients were treated with Methotrexate(MTX)and mifepristone.When theirβ-Serum human chorionic gonadotropin(β-HCG)were under 5000IU /L

they were undertaken curettage guided by ultrasound and hemostasis with Foley bladder.Results:Seventeen patients were cured

and the amount of bleeding was 279.0±63.9 ml in curettage

(65±19.8)ml after performed Foley bladder

The Foley bladder were held in the uterine cavity for(38±11.1)hours.The other cases included one patient of total hysterectomy

one patient of subtotal hysterectomy and one patient of uterine scar excision.Conclusions:The hemostasis with Foley bladder is a valuable treatment for CSP patients with the Primary Hospital of less bleeding

less cost and protecting the pregnancy.

关键词

剖宫产瘢痕妊娠Foley水囊止血甲氨喋呤

Keywords

cesarean scar pregnancyFoley bladderHemostasisMethotrexate

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Related Institution

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重庆医科大学临床学院肾内科

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