双侧子宫动脉化疗栓塞治疗子宫瘢痕妊娠对月经的影响

The effect of bilateral uterine artery chemoembolization for the treatment of cesarean scar pregnancy on menstruation

目的探讨剖宫产子宫瘢痕妊娠(CSP)患者应用双侧子宫动脉化疗栓塞(UACE)治疗对月经的影响。方法选取我院2014年1月至2016年10月应用UACE治疗的CSP患者42例为研究组,依据入组时间编号,选取同期正常宫内早孕在我院门诊行人工流产术的患者84例为对照组。比较两组术后血清β-HCG下降至正常的时间,术后月经情况,是否发生闭经,随访时间1年。结果研究组血清β-HCG下降至正常的时间为(16.7±1.5)天,对照组血清β-HCG下降至正常的时间为(21.8±1.8)天,差异有统计学意义(P<0.05)。两组术后月经情况均较术前差异无统计学意义(P>0.05),两组闭经发生率差异也无统计学意义(P>0.05)。结论 CSP应用UACE治疗不影响育龄妇女的月经,值得推广。

Objective To explore the effect of bilateral uterine arterial chemoembolization（ UACE） for the treatment of cesarean scar pregnancy（ CSP） on patients＇ menstruation. Methods There were 42 CSP patients treated with UACE in our hospital from January 2014 to October 2016.They were chosen as the study group and were numbered according to grouping time.At the same time,84 cases with artificial abortion were selected as the control group.The time of serum β-HCG levels decreasing to normal,menstruation and amenorrhea after treatment were compared between the two groups.The follow-up time was 1 year.Results The average time of serumβ-HCG levels decreasing to normal in the study group was（ 16. 7 ± 1. 5） days,and the control group was（ 21. 8 ± 1. 8） days.The difference was significant（ P〈0. 05）.There was no significant difference in menstruation after operation compared with before treatment between the two groups（ P〉0. 05）. There was no significant difference in the incidence of amenorrhea between the two groups（ P〉0. 05）.Conclusion Bilateral uterine artery chemoembolization for the treatment of CSP does not affect the menstruation of women at childbearing age.It is worthy of promotion