经血管介入法联合清宫术治疗剖宫产瘢痕妊娠的临床效果观察

目的探讨介入法联合清宫术治疗剖宫产瘢痕妊娠大出血的临床效果。 方法采用回顾性分析方法对我科2012年3月—2014年3月期间收治的32例剖宫产瘢痕妊娠患者的临床资料进行整理分析。 结果32例中5例手术前未明确诊断，流产中出现大出血的现象，对其进行子宫动脉栓塞介入法治疗。27例手术前进行了明确的诊断，先进行了子宫动脉栓塞介入治疗，随后进行清宫术，没有一例出现大出血现象，保留了子宫。 结论曾经剖宫产的患者再次妊娠时有发生剖宫产瘢痕处再次妊娠的危险，进行流产手术时很可能出现大出血，子宫动脉栓塞介入法结合清宫术是行之有效的首选治疗方案。

Clinical effect of interventional method combined with curettage for the treatment of cesarean scar pregnancy bleeding

ObjectiveTo investigate the clinical effect of interventional therapy combined with curettage for the treatment of cesarean scar pregnancy bleeding. MethodsRetrospective analysis was performed to analyze the clinical data of 32 cases of cesarean scar pregnancy in our hospital from March 2012 to March 2014. ResultsAmong 32 cases, bleeding occurred during abortion in 5 cases because diagnosis not confirmed before the procedure. The interventional method of uterine arterial embolization, was combined with curettage treatment after the embolization. Uterine arterial embolization followed by curettage was performed in the 27 cases with confirmed diagnosis. No bleeding phenomenon occurred, and uterus was preserved in all the cases. ConclusionsHemorrhage is most likely to occur in patients with CSP. UAE combined with curettage is effective and safe method to treat CSP.