刮宫术联合子宫动脉栓塞术与阴式剖宫产瘢痕妊娠组织清除术的效果比较

Comparison of curative effect between curettage combined with uterine artery embolization and vaginal cesarean section scar pregnancy

目的探讨剖宫产瘢痕妊娠(CSP)行刮宫术联合子宫动脉栓塞术(UAE)与阴式CSP组织清除术的效果。方法选取2016年9月～2018年3月在我院治疗的CSP患者107例,按随机数字表法分为两组,A组53例行阴式CSP组织清除术,B组54例行刮宫术联合UAE治疗,观察比较两组患者的临床疗效、术中出血量、手术耗时及住院时间、术后患者阴道出血时间及月经、β-人绒毛促性腺激素(β-hCG)恢复时间。结果两组患者的临床疗效及术中出血量均无明显差异(P>0.05);A组患者的手术时间、住院时间、阴道出血时间、β-hCG恢复时间及月经恢复时间均短于B组,差异均有统计学意义(P<0.05)。结论UAE联合刮宫术治疗CSP与阴式CSP组织清除术的效果率相当,后者的手术耗时、术后患者β-hCG水平、阴道出血及月经等恢复情况均优于前者,值得选择应用。

Objective To investigate and compare the effect of curettage combined with uterine artery embolization(UAE)and CSP tissue removal in patients with cesarean section scar pregnancy(CSP).Methods A total of107patients with CSP who were treated in our hospital from September to May20,2016were randomly divided into two groups.53patients in Group A underwent CSP tissue removal and54patients in group B underwent curettage combined with UAE.The efficacy of the two groups,the amount of intraoperative blood loss,the time of surgery and the length of hospital stay,the time of vaginal bleeding as well as the recovery time of menstruation andβ-human chorionic gonadotropin(β-hCG)were observed.Results There were no significant differences in the effective rate and intraoperative blood loss between the two groups(P>0.05).The operation time of group A,The length of hospital stay,vaginal bleeding time,recovery time ofβ-hCG and menstrual recovery time were shorter than those in group B(P<0.05for each).Conclusion UAF combined with curettage is effective in the treatment of CSP and CSP tissue removal.The latter is shortter than the former,the recovery ofβ-hCG level,vaginal bleeding and menstruation is better than the former.It is worthy of application.