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目的探讨血管介入治疗剖宫产术后瘢痕妊娠临床效果。方法选取剖宫产术后瘢痕妊娠患者80例,均为内蒙古民族大学附属医院2012-05至2015-05收治,随机分组,就刮宫术治疗的患者(对照组,n=40)与子宫动脉栓塞术与甲氨蝶呤清宫术联合治疗的患者(观察组,n=40)治疗效果展开对比。结果观察组选取的剖宫产术后瘢痕妊娠患者治愈率为100%,对照组患者治愈率为65%,差异有统计学意义(P<0.05)。观察组患者术中出血量、子宫内包块消失时间、平均住院时间均少于对照组(P<0.05)。两组血清β-HCG呈正常恢复的时间无差异(P>0.05)。两组均无严重并发症,体温均有程度不等的升高,经补液、抗感染后恢复正常。结论针对剖宫产术后瘢痕妊娠,采用血管介入辅助治疗,具较高安全性,损伤小,可保全子宫,缩短住院时间,对保障患者生存质量意义显著。
Objective To investigate the clinical effect of vascular interventional treatment of scar pregnancy after cesarean section. Methods Eighty pregnant women with cesarean scar after cesarean section were selected. All of them were admitted to the Affiliated Hospital of Inner Mongolia University for Nationalities from May 2012 to May 2015 and were randomly divided into two groups. Patients in the curettage group (n = 40) and uterine arterial embolism Surgery and methotrexate curettage surgery patients (observation group, n = 40) compared the effect of treatment. Results The cure rate of cesarean section scar pregnancy was 100% in the observation group and 65% in the control group, the difference was statistically significant (P <0.05). The intraoperative blood loss, disappearance of intrauterine mass and average length of stay in the observation group were less than those in the control group (P <0.05). Serum β-HCG was no difference between the normal recovery time (P> 0.05). No serious complications were found in both groups. The body temperature ranged from varying degrees, and returned to normal after rehydration and anti-infection. Conclusion For cesarean scar pregnancy, the use of vascular interventional adjuvant therapy, with high safety, less damage, can save the uterus, shorten the length of stay, to protect the quality of life of patients with significant significance.