子宫动脉灌注栓塞术治疗剖宫产瘢痕部位妊娠的临床效果

Clinical effect of uterine artery infusion embolization in the treatment of cesarean scar pregnancy

目的分析子宫动脉灌注栓塞术治疗剖宫产瘢痕部位妊娠(CSP)的临床效果。方法选择2017年3月至2020年3月于本院就诊的78例CSP患者为研究对象,以双盲法将患者分为参照组与研究组,每组39例。参照组采用甲氨蝶呤进行治疗,研究组采用子宫动脉灌注栓塞术治疗。比较两组的治疗效果。结果研究组的清宫手术时间短于参照组,再次清宫次数及术中出血量少于参照组,差异具有统计学意义(P<0.05)。研究组的β-HCG恢复正常时间、月经恢复时间及住院时间均短于参照组,差异具有统计学意义(P<0.05)。研究组的症状恢复率为97.44%,高于参照组的84.62%,差异具有统计学意义(P<0.05)。研究组的并发症总发生率为2.56%,低于参照组的15.38%,差异具有统计学意义(P<0.05)。结论子宫动脉灌注栓塞术治疗CSP安全、有效,且能加快患者的恢复速度。

Objective To analyze the clinical effect of uterine artery infusion embolization in the treatment of cesarean scar pregnancy(CSP).Methods Seventy-eight patients with of CSP treated in our hospital from March 2017 to March 2020 were selected as the research objects,and the patients were divided into reference group and study group,with 39 cases in each group.The reference group was treated with methotrexate,and the study group was treated with uterine artery infusion embolization.The therapeutic effects of the two groups were compared.Results The time of uterine curettage in the study group was shorter than that in the reference group,the times of curettage and intraoperative blood loss volume were less than those in the reference group,and the differences were statistically significant(P<0.05).Theβ-hCG recovery time,menstrual recovery time and hospitalization time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The symptom recovery rate of the study group was 97.44%,which was higher than 84.62%of the reference group,and the difference was statistically significant(P<0.05).The total incidence of complications in the study group was 2.56%,which was lower than 15.38%in the reference group,and the difference was statistically significant(P<0.05).Conclusion Uterine artery infusion embolization is safe and effective in the treatment of CSP,and can accelerate the recovery speed of patients.