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目的探讨子宫动脉化疗栓塞在治疗子宫切口妊娠的临床效果。方法回顾分析2010年1月~2012年12月收治的32例子宫切口妊娠行子宫动脉化疗栓塞治疗的病例资料。结果 32例子宫动脉化疗栓塞操作均成功。阴道大出血或不规则出血均得到有效控制。人绒毛膜促性腺激素β亚型较术前下降,差异有统计学意义(Z=-8.231,P=0.000),术后2~15 d行B超监测下清宫术,术中失血3~90 ml,平均25 ml。1例行子宫切除术,子宫切除率3%。结论子宫动脉化疗栓塞治疗子宫切口妊娠可减少阴道流血量、降低清宫风险、减少子宫切除可能,是治疗子宫切口妊娠的有效可行方法之一。
Objective To investigate the clinical effect of uterine arterial chemoembolization in the treatment of uterine incision pregnancy. Methods A retrospective analysis of 32 cases of uterine incision in January 2010 ~ December 2012 underwent uterine artery chemoembolization case data. Results 32 cases of uterine artery chemoembolization operation were successful. Vaginal bleeding or irregular bleeding have been effectively controlled. The β subtype of human chorionic gonadotropin was significantly lower than that before the operation (Z = -8.231, P = 0.000). The postoperative 2 to 15 days underwent ultrasonography for the curettage, and the intraoperative blood loss ranged from 3 to 90 ml, an average of 25 ml. A routine hysterectomy, hysterectomy rate of 3%. Conclusion Uterine arterial chemoembolization for uterine incision pregnancy can reduce vaginal bleeding, reduce the risk of hysteroscopy and reduce the possibility of hysterectomy, is an effective and feasible method for the treatment of uterine incision pregnancy.