子宫动脉化疗栓塞术联合清宫术治疗剖宫产术后子宫瘢痕妊娠的效果

Effect of Uterine Artery Chemoembolization Combined with Curettage in the Treatment of Uterine Scar Pregnancy after Cesarean Section

目的:分析剖宫产术后子宫瘢痕妊娠患者选择子宫动脉化疗栓塞术联合清宫术与米非司酮与甲氨蝶呤联合清宫术治疗的效果。方法:抽取本院2017年1月-2020年6月诊治的剖宫产术后子宫瘢痕妊娠患者58例开展研究,依据等量随机电脑法将其分为两组,各29例,对照组选择米非司酮与甲氨蝶呤联合清宫术治疗,观察组应用子宫动脉化疗栓塞术联合清宫术,分析不同方案对患者的影响。结果:观察组并发症发生率明显低于对照组,住院时间、术中出血量、β-hCG指标恢复正常时间、月经恢复正常时间指标优于对照组,差异有统计学意义(P<0.05)。结论:子宫动脉化疗栓塞术联合清宫术与米非司酮与甲氨蝶呤联合清宫术是治疗剖宫产术后子宫瘢痕妊娠的常用方案,对比来看,子宫动脉化疗栓塞术联合清宫术在治疗中的优势更为明显,安全度高,效果更理想,要重视。

Objective:To analyze the effect of uterine artery chemoembolization combined with curettage and Mifepristone and Methotrexate combined with curettage for uterine scar pregnancy after cesarean section.Method:A total of 58 patients with uterine scar pregnancy after cesarean section in our hospital from January 2017 to June 2020 were selected for study and divided into two groups according to the equivalent random computer method,29 cases in each group.The control group was treated with Mifepristone and Methotrexate combined with curettage,the observation group was treated with uterine artery chemoembolization combined with curettage.The influence of different regimens on patients was analyzed.Result:The incidence of complications in the observation group was significantly lower than that in the control group,and the hospitalization time,intraoperative blood loss,recovery time ofβ-hCG index and menstrual recovery time of the observation group were better than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Uterine artery chemoembolization combined with curettage and Mifepristone and Methotrexate combined with curettage are commonly used in the treatment of uterine scar pregnancy after cesarean section.In contrast,uterine artery chemoembolization combined with curettage in the treatment of uterine scar pregnancy has more obvious advantages,higher safety and better effect,which should be paid attention to.