42论著影像研究与医学应用2024年1月第8卷第1期经阴道超声辅助子宫动脉化疗栓塞术联合腹腔镜病灶切除术治疗外生型剖宫产瘢痕部位妊娠的效果及其预后相海云（临沂市中心医院产科山东临沂276400）EffectoftransvaginalultrasonographyassisteduterinearterychemoembolizationcombinedwithlaparoscopicfocalresectiononpregnancyinthesiteofexternalcaesareansectionscaranditsinfluenceonprognosisXIANGHaiyunDepartmentofObstetrics,LinyiCentralHospital,Linyi,Shandong276400,China【Abstract】ObjectiveToinvestigatetheeffectoftransvaginalultrasonographyassisteduterinearterychemoembolizationcombinedwithlaparoscopicresectionoffocallesionsinthetreatmentofexternalcaesareansectionscarsitepregnancyanditsimpactonprognosis.Methods60pregnantpatientswithabnormalcesareansectionscarsiteadmittedtoLinyiCentralHospitalfromApril2018toApril2020wereincluded,anddividedintolaparoscopicgroup(30cases)andultrasound-assistedgroup(30cases)accordingtodifferentsurgicalmethods,thetreatmentofthetwogroupswascompared.ResultsComparedwiththelaparoscopicgroup,theamountofbloodlossandoperationtimeintheultrasound-assistedgroupwereless(P<0.05).β-HumanChorionicGonadotrophin(β-HCG),menstrualrecoverytime,andluteinizinghormone(FSH)inbothgroupsbeforeandaftersurgery,luteinizinghormone(LH),estradiolhormone(E2),anti-Mullerianhormone(AMH)andothersecretoryfunctionindicatorswerecomparedwiththeincidenceofpostoperativeadversereactions,repregnancyandrecurrence,thedifferenceswerenotstatisticallysignificant(P>0.05).ConclusionTransvaginalultrasound-assisteduterinearterialchemoembolizationcombinedwithlaparoscopicfocalresectionhassignificantclinicalefficacyandgoodprognosis,andwillnotnegativelyaffecttheovarianendocrinefunctionandlong-termpregnancy.【Keywords】Transvaginalultrasonography;Uterinearterychemoembolization;Laparoscopicfocalresection;Scarsitepregnancy;Prognosis【摘要】目的：探讨外生型剖宫产瘢痕部位妊娠应用阴道超声辅助子宫动脉化疗栓塞术联合腹腔镜病灶切除术治疗的效果及其对预后的影响。方法：纳入2018年4月—2020年4月临沂市中心医院收治的60例外生型剖宫产...
