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目的:比较子宫动脉栓塞术与药物治疗在治疗剖宫产瘢痕妊娠的疗效,探讨子宫动脉栓塞术在治疗剖宫产瘢痕妊娠中的应用价值。方法:将我院确诊的57例剖宫产瘢痕妊娠随机分成2组。A组23例患者,行子宫动脉栓塞术加清宫术。B组24例患者,行甲氨蝶呤药物治疗加清宫术。结果:2组患者在治疗期间均观察清宫中阴道出血量、HCG下降至正常的时间、住院时间,2组比较差异有统计学意义,A组具有阴道出血少、HCG下降快、住院时间短的优点。结论:子宫动脉栓塞术治疗剖宫产瘢痕妊娠具有安全、有效、出血少、风险小、治疗时间短的优点,值得推广。
Objective: To compare the efficacy of uterine arterial embolization and medical therapy in the treatment of cesarean scar pregnancy, and to explore the value of uterine artery embolization in the treatment of cesarean scar pregnancy. Methods: 57 cases of cesarean scar pregnancy diagnosed in our hospital were randomly divided into two groups. A group of 23 patients underwent uterine artery embolization plus curettage. B group of 24 patients, methotrexate drug treatment and curettage. Results: During the treatment period, all patients in the two groups were observed vaginal bleeding, the HCG decreased to normal time and hospital stay, the difference was statistically significant between the two groups. Group A had less vaginal bleeding, rapid HCG decline and shorter hospital stay advantage. Conclusion: Uterine artery embolization for the treatment of cesarean scar pregnancy is safe, effective, less bleeding, the risk is small, the advantages of short treatment time, it is worth promoting.