子宫动脉栓塞术治疗瘢痕妊娠的效果

Effect of Uterine Artery Embolization in the Treatment of Caesarean Scar Pregnancy

目的探讨子宫动脉栓塞术(UAE)治疗瘢痕妊娠(CSP)的效果。方法选取我院2018年1月-2021年10月收治的CSP患者64例,按随机数字表法分为实验组和对照组,每组32例。对照组常规采用清宫术治疗,实验组采用UAE联合清宫术治疗,比较两组术中出血量、术后第3天β-hCG水平、β-hCG恢复正常时间及住院满意度评分,分析实验组术中灌注成像灌注参数值,记录灌注成像的TDC参数变化。结果实验组患者清宫术中出血量、住院天数、β-hCG恢复正常时间均优于对照组,差异有统计学意义(P<0.05);栓塞前后,实验组患DSA灌注成像TDC各参数均发生变化,差异有统计学意义(P<0.05)。结论子宫动脉栓塞术治疗瘢痕妊娠效果良好,可提升清宫术的效果和安全性,值得临床应用。

Objective To investigate the effect of uterine artery embolization(UAE)in the treatment of caesarean scar pregnancy(CSP).Methods A total of 64 patients with CSP admitted to our hospital from January 2018 to October 2021 were divided into experimental group and control group according to the treatment plan,32 cases in each group.The control group was routinely treated with uterine curettage,and the experimental group was treated with UAE combined with uterine curettage.The intraoperative blood loss,β-hCG level on the third day after operation,β-hCG recovery time and hospital satisfaction score were compared between the two groups.The intraoperative perfusion imaging perfusion parameters in the experimental group were analyzed,and the TDC parameters of perfusion imaging were recorded.Results The amount of bleeding,hospitalization days andβ-hCG recovery time in the experimental group were better than those in the control group(P<0.05).Before and after embolization,the TDC parameters of DSA perfusion imaging in the experimental group were changed,and the difference was statistically significant(P<0.05).Conclusion Uterine artery embolization has good effect in the treatment of scar pregnancy,which can improve the effect and safety of uterine curettage,and is worthy of clinical application.