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目的评价子宫动脉栓塞清宫术在子宫瘢痕妊娠中的应用价值以及安全性。方法研究对象选择我院子宫瘢痕妊娠产妇40例,产妇均于2015年2月-2016年7月入院治疗。40例产妇均实施子宫动脉栓塞后清宫术治疗,回顾分析所有产妇的治疗效果。结果 40例患者经子宫动脉栓塞术治疗,均成功完成清宫,患者术中出血量为20-100毫升,术后无阴道大出血发生,无宫内残留,术后3-7天患者血清人绒毛膜促性腺激素显著下降,术后1-2个月月经恢复正常。结论应用子宫动脉栓塞后清宫术对子宫瘢痕妊娠产妇进行治疗,安全性高,能够有效改善患者病情,值得推荐。
Objective To evaluate the value and safety of uterine artery embolization and curettage in uterine scar pregnancy. Methods Forty cases of pregnant women with uterine scar pregnancy in our hospital were selected. Maternal women were admitted to hospital from February 2015 to July 2016. 40 cases of maternal uterine artery embolization after curettage, retrospective analysis of all maternal treatment. Results 40 cases of patients underwent uterine arterial embolization, the successful completion of the curettage, the amount of bleeding in patients with 20-100 ml, no postoperative vaginal bleeding occurred, no residual intrauterine, postoperative 3-7 days serum human chorion Gonadotropin significantly decreased, 1-2 months after menstruation returned to normal. Conclusion Uterine artery embolization after curettage of uterine scar pregnancy maternal treatment, high safety, can effectively improve the patient’s condition, it is recommended.