子宫动脉栓塞术治疗剖宫产子宫瘢痕妊娠的临床效果观察

Clinical observation of uterine artery embolization for cesarean section uterine scar pregnancy

目的:分析子宫动脉栓塞术治疗剖宫产子宫瘢痕妊娠的临床效果。方法:选取收治的62例剖宫产子宫瘢痕妊娠患者通过数字表法分为对照组和研究组各31例。其中对照组给予常规药物治疗,研究组给予子宫动脉栓塞术治疗,比较两组患者的术中出血量、住院时间、术后HCG水平和治疗效果。结果:研究组患者的术中出血量、住院时间、术后HCG水平均优于对照组患者,差异有统计学意义(P<0.05);对照组与研究组患者治疗总有效率分别为70.97%、93.55%,差异有统计学意义(P<0.05)。结论:子宫动脉栓塞术治疗剖宫产子宫瘢痕妊娠有效率高,对患者创伤小,并发症发生率低,值得临床推广应用。

Objective To analyze the clinical effect of uterine artery embolization for cesarean section uterine scar pregnancy.Method A total of 62 patients with cesarean uterine scar pregnancy who were admitted to our hospital from February 2017 to July 2018 were enrolled.All patients were divided into reference group and study group by digital table method,with 31 cases in each group.The reference group was given regular drug therapy,and the study group was treated with uterine artery embolization.The intraoperative blood loss,hospital stay,postoperative HCG level and other indicators and treatment effects were compared between the two groups.Results The intraoperative blood loss,hospitalization time and postoperative HCG level of the study group were better than the reference group,the difference was statistically significant(P<0.05).The total effective rate of the reference group and the study group was 70.97%,93.55%,respectively,the reference group was lower than the study group,the difference was statistically significant(P<0.05).Conclusion Uterine artery embolization is effective in treating cesarean section uterine scar pregnancy.It has less trauma and less complication rate,which is worthy of clinical application.