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目的:探讨超声引导下射频消融术治疗剖宫产切口瘢痕子宫妊娠的临床疗效。方法:选取我院34例瘢痕子宫妊娠患者为研究对象,将其随机分成两组,每组17例,观察组采取超声引导下射频消融手术治疗,对照组采取肌内注射治疗,比较两组的治疗效果。结果:治疗后,观察组包块完全消失时间、血清β-hCG复常时间、月经复常时间和住院时间为(36.8±7.6)天、(16.5±4.5)天、(46.8±3.8)天和(17.5±1.5)天,上述指标均明显短于对照组。观察组治愈率94.1%,对照组治愈率64.7%,组间疗效比较差异有统计学意义。两组治疗过程中均无严重不良反应,观察组不良反应明显少于对照组。结论:超声引导下射频消融术治疗剖宫产切口瘢痕妊娠的临床效果明显,利于患者功能恢复,可成为被患者接受的临床治疗方法。
Objective: To investigate the clinical effect of ultrasound-guided radiofrequency ablation in the treatment of cesarean scar pregnancy. Methods: 34 cases of uterine scar pregnancy in our hospital were selected as the research object. They were randomly divided into two groups (n = 17 in each group). The observation group was treated by radiofrequency ablation guided by ultrasound and the control group received intramuscular injection. treatment effect. Results: After treatment, the complete disappearance of mass, serum β-hCG recovery time, menstruation recovery time and hospitalization time were (36.8 ± 7.6) days, (16.5 ± 4.5) days, (46.8 ± 3.8) days and (17.5 ± 1.5) days, the above indicators were significantly shorter than the control group. The cure rate of the observation group was 94.1%, the cure rate of the control group was 64.7%, the difference between the two groups was statistically significant. No serious adverse reactions were observed in the two groups during the course of treatment, and adverse reactions in the observation group were significantly less than those in the control group. Conclusion: Ultrasound-guided radiofrequency catheter ablation of cesarean section scar pregnancy pregnancy clinical effect is obvious, conducive to patients with functional recovery, can be accepted by patients with clinical treatment.