论文部分内容阅读
目的评价子宫动脉栓塞术联合宫腔镜治疗在剖宫产瘢痕妊娠中的临床应用及价值。方法回顾性分析2014年1月至2015年3月在新疆医科大学第一附属医院妇科收治的62例剖宫产瘢痕妊娠患者的临床资料。将患者分为栓塞组(n=30)和甲氨蝶呤组(n=32),两组患者均接受宫腔镜手术治疗。观察组行双侧子宫动脉栓塞术,对照组肌内注射甲氨蝶呤。观察两组患者术中出血量、住院时间、术后血-hCG转阴时间,病灶消失时间、月经恢复时间等指标,比较两组患者手术疗效及愈合情况。结果两组患者治疗后血-hCG转阴时间、住院时间、术中出血量及病灶消失时间比较,栓塞组优于甲氨蝶呤组,差异有统计学意义(P<0.05);月经恢复时间两组间比较差异无统计学意义(P>0.05),两组不良反应发生情况比较差异无统计学意义(P>0.05)。结论子宫动脉栓塞术联合宫腔镜治疗剖宫产瘢痕妊娠具有疗效确切、安全、微创等优势。
Objective To evaluate the clinical value of uterine arterial embolization combined with hysteroscopy in cesarean scar pregnancy. Methods The clinical data of 62 patients with cesarean scar pregnancy treated in gynecology department of the First Affiliated Hospital of Xinjiang Medical University from January 2014 to March 2015 were retrospectively analyzed. Patients were divided into embolization group (n = 30) and methotrexate group (n = 32), and both groups underwent hysteroscopic surgery. Observation group underwent bilateral uterine artery embolization, the control group intramuscular injection of methotrexate. The blood loss, length of hospital stay, postoperative blood-hCG negative time, disappearance time and menstruation recovery time were observed. The curative effect and healing of the two groups were compared. Results Compared with Methotrexate group, the blood-hCG negative time, hospitalization time, intraoperative blood loss and the disappearance time of the lesions in the two groups were statistically significant (P <0.05). The duration of menstruation recovery There was no significant difference between the two groups (P> 0.05). There was no significant difference in adverse reactions between the two groups (P> 0.05). Conclusion Uterine artery embolization combined with hysteroscopic cesarean scar pregnancy with accurate, safe, minimally invasive and other advantages.