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超声评价疤痕妊娠子宫动脉栓塞后的疗效
引用本文:何萍,牛建梅,洪向丽.超声评价疤痕妊娠子宫动脉栓塞后的疗效[J].生殖与避孕,2016(5):436-438.
作者姓名:何萍  牛建梅  洪向丽
作者单位:1. 同济大学附属第一妇婴保健院,上海,200040;2. 上海交通大学医学院附属国际和平妇幼保健院,上海,200030
摘    要:目的:探讨彩色多普勒超声检查对子宫疤痕妊娠病例子宫动脉栓塞术疗效评估的价值。方法:收集行子宫动脉栓塞术治疗的子宫疤痕妊娠病例60例,通过二分类变量Logistic回归分析筛选出子宫动脉栓塞术后行刮宫术治疗效果的影响因素。结果:Logistic回归分析显示:妊娠物距浆膜层距离比数比(OR)为0.162及血管阻力指数(RI)OR0.001为影响子宫动脉栓塞术后行刮宫术疗效的因素。结论:彩色多普勒超声检查是评估子宫疤痕妊娠行子宫动脉栓塞术合并刮宫术疗效的有效方法。

关 键 词:彩色多普勒超声  子宫动脉栓塞术  剖宫产疤痕  Logistic回归

Discussion on color Doppler flow imaging in treatment of caesarean scar pregnancy after uterine artery embolization
Abstract:Objective:To evaluate the effect of cesarean scar pregnancy treated after uterine artery embolization by color Doppler flow imaging.Methods:Sixty cases of pregnancy located at the uterine incision after cesarean section performed by uterine artery embolization were collected.The binary Logistic regression was used in the analysis of influence factors.Results:Two factors entered Logistic regression model.They were distance between mass and serosa (OR=0.162) and resistant index (RI) (OR<0.001).Conclusion:Ultrasound is valuable in judging the effect of uterine artery embolization combined with dilation and curettage in cesarean scar pregnancy.
Keywords:color Doppler flow imaging  uterine artery embolization  cesarean section scar  Logistic regression
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