子宫动脉栓塞术对剖宫产术后切口妊娠的治疗价值

Clinical value of uterine artery embolization in treatment of cesarean scar pregnancy

目的探讨子宫动脉栓塞术治疗剖宫产后切口妊娠的临床价值。方法对剖宫产术后切口妊娠患者51例随机分为A(26例)、B(25例)两组,A组采用MTX肌内注射后行刮宫术,B组于子宫动脉栓塞术后行刮宫术,比较两组间在出血量、住院时间、血HCG降至正常的时间,以及不良反应等差异。结果 A组在出血量、住院时间、血HCG降至正常的时间显著大于B组,差异具有显著性(P<0.05),两组间不良反应差异无统计学意义(P>0.05)。结论子宫动脉栓塞术治疗剖宫产后切口妊娠优于MTX肌内注射后刮宫术,有降低大出血风险,保留妇女生育功能,疗效确切,安全、副反应轻的优点,可作为首选的治疗方法。

Objective To explore the value of uterine artery embolization（UAE） in treatment of cesarean scar pregnancy（CSP）.Methods 51 cases of CSP were randomly divided into A group（26 cases） and B group（25 cases）.A group was underwent curettage after intramuscular injection of MTX-line and B group was underwent curettage after UAE in the treatment.2 groups were compared in blood loss,hospital stay,time for blood HCG to normal and adverse reactions.Results The blood loss,hospital stay,time for blood HCG to normal of A group were higher than that of B group.The difference was statistically significant（P0.05）.The adverse reactions between the two groups was no significant difference（P0.05）.Conclusion UAE 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.