子宫瘢痕处妊娠两种治疗方案的疗效对比

A Contrast of the Curative Effects of Two Kinds of Treatment for Cesarean Scar Pregnancy

目的:分析子宫动脉栓塞术+清宫术与米非司酮+甲氨蝶呤(MTX)+中药调理两种治疗方案对子宫瘢痕处妊娠的疗效差异。方法:收集大理大学第一附属医院及云南省第三人民医院近3年的子宫瘢痕处妊娠病例,对比两种治疗方案的治疗情况,分析哪种治疗方案更安全有效。结果:采用子宫动脉栓塞术+清宫术治疗方案的病例治疗后恢复情况比采用米非司酮+MTX+中药调理治疗方案的病例好,采用子宫动脉栓塞术+清宫术治疗方案的病例阴道出血情况比采用米非司酮+MTX+中药调理治疗方案的病例少,且差异均有统计学意义。结论:子宫动脉栓塞术+清宫术治疗方案比米非司酮+MTX+中药调理治疗方案更安全有效,子宫动脉栓塞术能有效降低子宫瘢痕处妊娠发生阴道大量出血的风险。

Objective:To analyze the curative effects of two approaches in the treatment of cesarean scar pregnancy:the uterine artery embolization+curettage and methotrexate(MTX)with mifepristone+Chinese traditional medicine recuperates.Methods:The data of cesarean scar pregnancy cases in The First Affiliated Hospital of Dali University and The Third People’s Hospital of Yunnan Province during the period of three years were collected.Then the curative effects of two kinds of treatment were analyzed in order to find out which one was safer and more effective.Results:The effect of using uterine artery embolization+curettage cases was better than that of using mifepristone+methotrexate+Chinese traditional medicine;fewer cases of vaginal bleeding happened when using uterine artery embolization+curettage than when using mifepristone+methotrexate+Chinese medicine.There were statistically significant differences.Conclusion:The treatment of uterine artery embolization+curettage is safer and more effective than that of mifepristone+methotrexate+Chinese traditional medicine;the uterine artery embolization can effectively reduce the risk of vaginal bleeding which happens at the cesarean scar pregnancy.