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目的:本次临床实践研究,观察分析介入栓塞术与海扶刀用于治疗剖宫产后子宫切口妊娠中的临床效果。方法:回顾分析我院近三年(2013年10月-2016年10月)收治的子宫切口妊娠手术患者55例,根据治疗方法的不同,将患者分为A组和B组。A组26例剖宫产后子宫切口妊娠实施的子宫动脉介入栓塞术,B组29例剖宫产后子宫切口妊娠患者采用的是高强度聚焦超声治疗的方法,即超声聚焦刀(俗称海扶刀)。观察记录对比两组患者的临床疗效。结果 A组与B组比较,在出血量和血β-hCG值恢复时间方面,差异显著(P<0.05),海扶刀治疗组显著优于介入栓塞治疗组;在住院时间比较上,两组术式患者无明显差异。两组患者术后均出现不同程度的疼痛、发热等症状,经过后续对症治疗后,全部治愈,并没出现其他严重的并发症。结论:总体上来看,介入栓塞与海扶刀治疗剖宫产后子宫切口妊娠,海扶刀术式略优于介入栓塞术。
OBJECTIVE: To investigate the clinical effect of interventional embolization and sea-lizard on cesarean section uterine incision pregnancy after clinical study. Methods: A retrospective analysis of 55 cases of uterine incision pregnancy surgery admitted to our hospital for nearly three years (October 2013-October 2016) was divided into A group and B group according to the different treatment methods. A group of 26 cases of cesarean section after uterine incision pregnancy uterine artery embolization, 29 cases of B group after cesarean section uterine incision pregnancy patients using high-intensity focused ultrasound treatment method, that ultrasound focus knife Knife). Observation records compared the clinical efficacy of two groups of patients. Results Compared with group B, there was significant difference (P <0.05) in bleeding time and recovery time of blood β-hCG between group A and group B. Haifutao group was significantly better than group of interventional embolization; No significant difference in surgical patients. Two groups of patients showed varying degrees of pain, fever and other symptoms after surgery, after the follow-up symptomatic treatment, all cured, and no other serious complications. Conclusion: On the whole, interventional embolization and sea-acupuncture treatment of uterine incision pregnancy after cesarean section, sea-arm surgery is slightly better than interventional embolization.