宫腔镜联合子宫动脉栓塞术治疗子宫瘢痕妊娠的效果

Hysteroscopic and Uterine Artery Embolization for Uterine Scar Pregnancy

目的宫腔镜联合子宫动脉栓塞术治疗剖宫产术后子宫瘢痕妊娠临床效果。方法选取2015年2月—2017年2月我院剖宫产术后子宫瘢痕妊娠患者48例作为研究对象。按随机表分组。对照组采用传统清宫手术;微创组开展宫腔镜联合子宫动脉栓塞术治疗。比较两组患者的效果。结果微创组手术操作时间、术后恢复月经时间、术后HCG转阴时间比对照组短,且手术中总出血量少于对照组,感染等发生率比对照组低,差异具有统计学意义(P <0.05)。干预前,两组患者的SF-36评分对比,差异无统计学意义(P> 0.05)。干预后,微创组SF-36评分优于对照组,差异具有统计学意义(P <0.05)。结论宫腔镜联合子宫动脉栓塞术治疗剖宫产术后子宫瘢痕妊娠临床效果确切。

Objective Hysteroscopy combined with uterine artery embolization for the clinical effect of uterine scar pregnancy after cesarean section. Methods 48 cases of uterine scar pregnancy after cesarean section from February 2015 to February 2017 were selected as the study subjects. Grouped according to random table. The control group was treated by traditional curettage. The minimally invasive group was performed hysteroscopy combined with uterine artery embolization. The effects of the two groups were compared. Results Minimally invasive group had shorter operation time, postoperative menstrual recovery time and postoperative negative conversion time of HCG than the control group. The total bleeding during operation was less than that in the control group. The infection rate was lower than that of the control group. The difference was statistically signifcant （P 〈 0.05）. Before intervention, there was no significant difference in SF-36 score between the two groups （P 〉 0.05）. After intervention, the SF-36 score of the minimally invasive group was better than that of the control group （P 〈 0.05）. Conclusion Hysteroscopy combined with uterine artery embolization is effective in the treatment of uterine scar pregnancy after cesarean section.