子宫动脉栓塞术治疗剖宫产后子宫瘢痕部位妊娠的临床疗效分析

目的观察子宫动脉栓塞术在治疗剖宫产后子宫瘢痕部位妊娠的临床疗效。方法我科收治的18例子宫瘢痕部位妊娠患者,根据是否行子宫动脉栓塞分为两组,观察组为行子宫动脉栓塞加MTX化疗术再行刮宫术,对照组为肌注MTX后直接行刮宫术组,比较两组患者的手术出血量、β-HCG恢复正常时间、住院时间、大出血发生率、人流综合症、二次手术率。结果观察组患者手术出血量,β-HCG恢复正常时间及住院时间低于对照组,两者比较差别有统计学意义,P<0.05,观察组患者大出血发生率及再次手术发生率率低于对照组,两者比较差别有统计学意义,P<0.05。结论子宫动脉栓塞化疗术在治疗剖宫产术后瘢痕部位妊娠具有很好的临床疗效。

The Clinical Effect of Uterine Artery Embolization in the Treatment for the Cesarean Scar Pregnancy

Objective To explore the clinical effect of uterine artery embolization in the treatment for the cesarean scar pregnancy.Methods By order of admission 18 patients with CSP were divided into observation group and control group according to whether underwent uterine artery embolization Observation group was underwent curettage after uterine artery embolization in the treatment and control group was underwent curettage after intramuscular injection of MTX.The clinical indicators after treatment such as blood loss,hospital stay,time for blood HCG to normal,incidence of bleeding,abortion syndrome and Operation again were compared between the two groups.Results Observation group was lower than control group in blood loss,hospital stay,time for blood HCG to normal,incidence of bleeding,and Operation again the difference was statistically significant（P0.05）.Conclusion Uterine artery embolization is an effective,safe and minimally invasive method with low risk of heavy bleeding for the treatment of CSP superior to curettage after intramuscular injection of MTX and has important clinical value.