聚桂醇联合清宫术治疗子宫瘢痕妊娠疗效评价

目的评估超声引导下聚桂醇注射硬化治疗联合清宫术治疗瘢痕妊娠的疗效.方法回顾性分析2018年2月至2019年6月60例剖宫产瘢痕妊娠患者的临床资料.其中30例患者在聚桂醇硬化治疗后行清宫术为观察组.30例患者在子宫动脉栓塞术后行清宫术为对照组.结果两组患者疗效比较差异无统计学意义(P>0.05).两组患者不良反应发生率差异无统计学意义(P>0.05).聚桂醇组住院费用少于子宫动脉栓塞组(P<0.05).聚桂醇组住院时间明显比子宫动脉栓塞组短(P<0.05).结论超声引导下聚桂醇注射硬化治疗联合清宫术是治疗子宫瘢痕妊娠的有效方法.聚桂醇治疗操作简便,微创,副反应少,价格低廉,易被患者接受,更易于在基层医院开展.

Objective To evaluate the efficacy of ultrasoimd-guided lauromacrogol injection sclerosing therapy combined with curettage on cesarean scar pregnancy(CSP).Methods From February 2018 to June 2019,60 patients with CSP received therapy in Hangzhou First people*s Hospital,including 30 patients underwent curettage after ultrasound-guided lauromacrogol injection in observation group and 30 patients undergoing curettage after uterine artery embolization in control group.Results There was no significant difference about effective rate between two groups(P>0.05).The difference in the adverse reacrion rate was not significant between two groups(P>0.05).The cost of the observation group was significant less than that of the control group(P<0.05).The hospitalization time of the observation group was significant shorter than that of the control group(P<0.05).Conclusion Ultrasound-guided lauromacrogol injection sclerosing therapy combined with curettage is effective for cesarean scar pregnancy,and it has the advantages of easy operation,mild trauma,few complications,low cost and high patient satisfaction.It is worthy of promotion in primary hospitals.