剖宫产术后子宫瘢痕妊娠运用子宫动脉栓塞术治疗的临床效果及可行性分析

Clinical Effect and Feasibility Analysis of the Treatment of Uterine Scar Pregnancy After Cesarean Section by Uterine Artery Embolization

目的探究剖宫产术后子宫瘢痕妊娠运用子宫动脉栓塞术治疗的临床效果及可行性。方法选取2018年1月至2019年12月南京江北人民医院收治的50例剖宫产术后子宫瘢痕妊娠患者作为研究对象,按随机数字表法分为参照组和研究组,各25例。参照组开展保守药物治疗,研究组开展子宫动脉栓塞术治疗。对比两组剖宫产术后子宫瘢痕妊娠患者的疗效、康复时间及不良反应。结果研究组剖宫产术后子宫瘢痕妊娠患者治疗总有效率96.00%高于参照组76.00%,月经恢复时间、病灶消失时间、人绒毛膜促性腺激素(β-HCG)值恢复正常时间、住院时间等康复时间均短于参照组,差异有统计学意义(P<0.05)。两组患者不良反应发生率对比,差异无统计学意义(P>0.05)。结论采取子宫动脉栓塞术治疗剖宫产术后子宫瘢痕妊娠,疗效更为显著,且患者康复时间更短。

Objective To explore the clinical effect and feasibility of uterine scar pregnancy after cesarean section by uterine artery embolization.Methods A total of 50 patients with uterine scar pregnancy after cesarean section admitted to Jiangbei People's Hospital of Nanjing from January 2018 to December 2019 were selected as the research objects and randomly divided into the reference group and the study group,with 25 patients in each group.The reference group received conservative drug therapy,while the study group received uterine artery embolization.The efficacy,adverse reactions and recovery time of the two groups were compared.Results The total effective rate of 96.00%of patients in the reference group was higher than that of the control group 76.00%,and the recovery time of menstrual recovery,lesion disappearance,β-HCG value recovery time and hospital stay time were shorter than that of the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Uterine artery embolization is more effective in treating scar pregnancy after cesarean section,and the recovery time is shorter.