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目的探讨子宫动脉栓塞联合宫腔镜对剖宫产瘢痕妊娠的治疗效果。方法 58例剖宫产瘢痕妊娠患者,采用随机抽签方法分成观察组和对照组,各29例。观察组应用子宫动脉栓塞联合宫腔镜治疗,对照组单纯使用甲氨蝶呤行子宫动脉远端灌注治疗,对比两组患者住院时间、血β-人绒毛膜促性腺激素(β-HCG)恢复时间和术中出血量。结果观察组患者的术中出血量(55.17±16.10)ml、住院时间(9.21±2.55)d、血β-HCG恢复时间(12.05±5.14)d均优于对照组的(132.52±49.49)ml、(23.15±5.71)d、(20.11±6.24)d(P<0.05)。结论子宫动脉栓塞联合宫腔镜对剖宫产瘢痕妊娠的治疗效果肯定,可明显缩短患者血β-HCG恢复时间、住院时间,且可减少患者术中出血量,安全有效,值得借鉴。
Objective To investigate the therapeutic effect of uterine artery embolization combined with hysteroscopy on cesarean scar pregnancy. Methods 58 cases of cesarean scar pregnancy were randomly divided into observation group and control group, with 29 cases in each group. The observation group was treated with uterine artery embolization combined with hysteroscopy, while the control group was treated with methotrexate alone. The hospitalization time, β-HCG recovery Time and intraoperative blood loss. Results The intraoperative blood loss (55.17 ± 16.10) ml, hospital stay (9.21 ± 2.55) days, and blood β-HCG recovery time (12.05 ± 5.14) days in the observation group were significantly higher than those in the control group (132.52 ± 49.49) ml, (23.15 ± 5.71) d and (20.11 ± 6.24) d respectively (P <0.05). Conclusion Uterine artery embolization combined with hysteroscopy for cesarean scar pregnancy sure effect, can significantly shorten the recovery time of patients with blood β-HCG, hospital stay, and can reduce the amount of bleeding in patients with surgery, safe and effective, it is worth learning from.