子宫动脉阻断法在瘢痕部位妊娠和前峡部妊娠的临床价值

目的 探讨子宫动脉阻断法在瘢痕部位妊娠和前峡部妊娠的应用。方法 回顾性分析2011年11月至2013年11月东营市人民医院收治的60例瘢痕部位妊娠和前峡部妊娠妊娠患者的临床资料，观察组给予子宫动脉阻断法治疗，对照组采用甲氨喋呤治疗，两组患者均行腹腔镜下吸宫术。结果 观察组患者的术中出血量明显比对照组少（t＝4．303，P＜0．05），术后血人绒毛膜促性腺激素（hCG）下降水平明显比对照组高（t＝3．182，P＜0．05），术后住院时间明显比对照组短（t＝2．776，P＜0．05）。观察组患者术后并发症发生率为6．7％，显著低于对照组的26．7％（χ^2＝14．07，P＜0．05）。结论 子宫动脉阻断法在瘢痕部位妊娠和前峡部妊娠的治疗中疗效显著，并发症少。

Clinical value of uterine artery occlusion in the treatment of scar pregnancy and pre-pregnancy isthmus

Objective To investigate the clinical value of uterine artery occlusion in the treatment of scar pregnancy and pre -pregnancy isthmus.Methods Retrospective analysis was conducted on the clinical data of 60 cases with scar pregnancy and pre-pregnancy isthmus admitted in People’ s Hospital of Dongying City in Shandong Province from November 2011 to November 2013.Patients in observation group were treated with uterine artery occlusion , while those in control group were treated with methotrexate （ MTX） .All patients accepted laparoscopic uterine aspiration .Results The blood loss of the observation group was significantly less than that in the control group （ t=4.303,P〈0.05）, and the postoperative serum human chorionic gonadotropin （hCG） level dropped more significantly in the observation group （t=3.182,P〈0.05）.The postoperative hospital stay of the observation group was significantly shorter than that of the control group （t=2.776,P〈0.05）.The incidence rate of postoperative complications of the observation group was 6.7%, which was significantly lower than that of the control group （26.7%） （χ^2=14.07,P〈0.05）.Conclusion The effect of uterine artery occlusion in the treatment of scar pregnancy and pre-pregnancy isthmus is good with few complications .