两种子宫瘢痕妊娠手术方式的疗效及术后生命质量比较

Compare the Clinical Effect of Two Operations of Cesarean Scar Pregnancy and Impact in the Life Quality

目的分析两种子宫瘢痕妊娠手术的临床疗效。方法选取2015年8月至2017年4月62例进行子宫瘢痕妊娠手术患者,利用随机数字表法将患者分为试验组和对照组,每组31例。对照组使用阴式子宫瘢痕妊娠病灶清除,并辅以子宫修补术;试验组使用双侧子宫动脉栓塞后清宫术。对比两组手术前、手术1年后的生命质量和治疗效果。结果手术1年后,试验组日常活动功能(RP)、社会交往功能(SF)、总体健康(GH)3个项目的评分显著高于对照组,差异有统计学意义(P<0.05);两组其余5个项目评分比较,差异无统计学意义(P>0.05)。两组治疗总有效率比较,差异无统计学意义(P>0.05)。结论两种子宫瘢痕妊娠手术方法治疗效果相似,但手术1年后,使用双侧子宫动脉栓塞后清宫术患者的生命质量明显更高。

Objective To analyze the clinical value of two operations of cesarean scar pregnancy. Methods 62 patients of receiving the operation of cesarean scar pregnancy from August 2015 to April 2017 in our hospital were selected. The subjects were randomly divided into two groups,31 cases each group. The control group received the transvaginal lesion resection and uterus repair; The experimental group received the bilateral uterine artery embolization and complete curettage of uterine cavity. Before treatment and after 1 y of treatment,the life quality and total effective rate was compared. Results After 1 y of treatment,the RP,SF and GH scores for The experimental group were significantly higher than control group（ P 〈0. 05）. The other five item scores for two groups were not significantly different（ P〉 0. 05）. The total effective rate for the experimental group and the control group was not significantly different（ P 〉0. 05）. Conclusion Based on two operations,the total effective rate is not significantly different. After 1 y of treatment,the bilateral uterine artery embolization and complete curettage of uterine cavity can greatly improve their life quality.