子宫动脉栓塞联合宫腔镜治疗剖宫产瘢痕部位妊娠的临床疗效

Clinical effect of uterine artery embolization combined with hysteroscopy in the treatment of pregnancy at the scar of cesarean section

目的探讨对剖宫产后子宫瘢痕部位妊娠患者的治疗中实施子宫动脉栓塞联合宫腔镜的应用效果。方法选择我院收治的剖宫产后子宫瘢痕部位妊娠患者50例,随机抽样法分为两组,每组各25例。试验组采用子宫动脉栓塞联合宫腔镜进行治疗,对照组单独应用宫腔镜手术治疗,比较两组恢复情况(术后住院时间、月经恢复时间、包块消失时间、术中出血量)、治疗效果以及术后并发症发生率(下腹疼痛、闭经、切口感染、发热)。结果试验组术后住院时间、月经恢复时间、包块消失时间均短于对照组,术中出血量少于对照组(P<0.05),试验组治疗效果高于对照组(P<0.05),试验组术后并发症发生率低于对照组(P<0.05)。结论在剖宫产术后子宫瘢痕部位妊娠患者的临床治疗中联合应用子宫动脉栓塞与宫腔镜手术,治疗效果显著,能促进患者术后恢复,安全性较高,不良反应发生率较少,值得推广。

Objective To explore the effect of uterine artery embolization combined with hysteroscopy in the clinical treatment of pregnant patients with uterine scars after cesarean section.Methods A total of 50 pregnant patients with uterine scars after cesarean section were selected as the research objects in our hospital,and they were divided into experimental group and reference group by random sampling method,25 cases in each group.The experimental group was treated with uterine artery embolization combined with hysteroscopy,and the reference group was treated with hysteroscopy alone.The recovery conditions(postoperative hospital stay,menstrual recovery time,mass disappearance time,intraoperative bleeding Amount),treatment effect and postoperative complications(lower abdominal pain,amenorrhea,incision infection,fever)in two groups were compared.Results The postoperative hospital stay,menstrual recovery time and mass disappearance time in the experimental group were significantly shorter than those in the reference group,and the difference was statistically significant(P<0.05);the treatment effect in the experimental group was significantly higher than that in the reference group(P<0.05);the incidence of adverse reactions in the experimental group was significantly lower than that in the reference group(P<0.05).Conclusion The combined application of uterine artery embolization and hysteroscopic surgery in the clinical treatment of pregnant patients with uterine scars after cesarean section has a significant therapeutic effect,which can promote the postoperative recovery of patients,It has high safety and low incidence of adverse reactions,is worthy promotion.