子宫动脉栓塞联合宫腔镜治疗子宫切口瘢痕妊娠的临床价值分析

Analysis of Clinical Value of Uterine Artery Embolization Combined with Hysteroscopy in Treatment of Uterine Incisional Scar Pregnancy

目的探讨子宫动脉栓塞联合宫腔镜治疗子宫切口瘢痕妊娠的临床价值。方法选取2014年5月—2016年12月收治的86例子宫切口瘢痕妊娠患者作为研究对象,根据治疗方法将患者分为对照组40例和观察组46例,对照组予以甲氨蝶呤联合刮宫术治疗,观察组予以子宫动脉栓塞联合宫腔镜治疗。治疗结束后比较两组的手术情况、临床疗效以及并发症的发生情况。结果观察组术中出血量较对照组少,且阴道流血时间、血清人绒毛膜促性腺激素降至正常所需时间以及术后住院时间均较对照组短(P<0.05)。观察组临床总有效率明显高于对照组,术后并发症发生率明显低于对照组(P<0.05)。结论子宫动脉栓塞联合宫腔镜治疗子宫切口瘢痕妊娠的出血量更少,术后恢复更快,临床疗效更为显著,且具有一定的安全性。

Objective To investigate clinical values of uterine artery embolization combined with hysteroscopy in treatment of uterine incisional scar pregnancy. Methods A total of 86 patients with uterine incisional scar pregnancy admitted during May 2014 to December 2016 were divided into control group（ n = 40） and observation group（ n = 46） according to therapeutic methods. Control group was treated with Methotrexate combined with curettage,while observation group was treated with uterine artery embolization combined with hysteroscopy. After treatment,operative condition,clinical efficacy and incidence rate of complications were compared in two groups. Results In observation group,intraoperative volume of blood loss was significantly less,and values of vaginal bleeding time,returning to normal time of serum human chorionic gonadotropin（ HCG） and postoperative hospital stay were significantly lower than those in control group（ P〈0. 05）. In observation group,the total effective rate was significantly higher,while incidence rate of postoperative complications was significantly lower than those in control group（ P〈0. 05）. Conclusion Uterine artery embolization combined with hysteroscopy in treatment of patients with uterine incisional scar pregnancy has less bleeding volume,faster postoperative recovery and good clinical effect with a certain security.