探讨子宫动脉栓塞术在疤痕部位妊娠中的临床应用效果

Exploration on the Clinical Application of Uterine Artery Embolization in the Pregnancy of Scar

目的研究在疤痕部位妊娠中应用子宫动脉栓塞术治疗的临床效果。方法选择该院2013年1月—2017年12月中的61例疤痕部位妊娠患者进行研究,按照患者接受治疗的不同方式进行分组,观察组31例、对照组30例,分别接受子宫动脉栓塞术、药物甲氨蝶呤治疗,比较两组临床效果。结果观察组患者刮宫术前准备时间短于对照组,刮宫术中出血量少于对照组,住院时间短于对照组,差异有统计学意义(t=13.665 9、5.052 3、12.311 8,P=0.000 0、0.000 0、0.000 0)。观察组治疗后β-HCG指标水平明显低于对照组,差异有统计学意义(t=12.046 2,P=0.000 0),观察组并发症发生率为12.90%,明显低于对照组并发症发生率36.67%,差异有统计学意义(χ~2=4.642 8,P=0.031 2);观察组住院费用与对照组差异无统计学意义(P>0.05)。结论子宫动脉栓塞术用于治疗疤痕部位妊娠患者能够提升治疗效果,提升刮宫术安全性,减少并发症,可在临床推广。

Objective To study the clinical effect of uterine artery embolization in the treatment of scar pregnancy. Methods Sixty-one patients with scars from January 2013 to December 2017 were enrolled in the study. The patients were divided according to the different methods of treatment. 31 patients in the observation group and 30 patients in the control group received uterine artery embolization treatment, drug methotrexate treatment, compare the clinical effects of the two groups. Results In the observation group, the preparation time before curettage was shorter than that in the control group. The amount of bleeding in the curettage was less than that in the control group, and the hospital stay was shorter than the control group,the different was statistically significant(t=13.665 9,5.052 3, 12.311 8, P=0.000 0, 0.000 0, 0.000 0). The level of β-HCG in the observation group was significantly lower than that in the control group,the different was statistically significant(t=12.046 2, P=0.000 0). The complication rate in the observation group was12.90%, which was significantly lower than that in the control group,the different was statistically significant(36.67%),(χ~2=4.642 8, P=0.031 2); There was no significant difference between the observation group and the control group(P>0.05). Conclusion Uterine artery embolization for the treatment of scar patients with pregnancy can improve the treatment effect, improve the safety of curettage, reduce complications, and can be promoted in the clinic.