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目的对比子宫栓塞后即刻行刮宫术与单纯刮宫治疗宫颈妊娠(CP)的出血及康复效果。方法选取2015年11月—2016年12月收治的80例宫颈妊娠患者为研究对象,采用随机数字表法分为两组,观察组患者进行子宫栓塞之后,马上采用剖宫术进行治疗,对照组患者在注射药物之后采用剖宫术进行治疗,对两组患者的出血情况和康复效果进行对比分析。结果观察组临床治疗总有效率为97.50%,显著高于对照组的75.00%,差异有统计学意义(P<0.05);观察组的住院时间短于对照组,术中出血量少于对照组,术后2 h VAS评分低于对照组,差异有统计学意义(P<0.05);观察组血β-HCG恢复正常时间短于对照组(P<0.05)。结论子宫栓塞后即刻行刮宫术治疗官颈妊娠的效果显著,有利于减少出血,促使其更快康复,值得推广。
Objective To compare the hemorrhage and rehabilitation of cervical pregnancy (CP) treated with curettage and simple curettage after uterine embolization. Methods Eighty patients with cervical pregnancy admitted from November 2015 to December 2016 were enrolled in this study. Patients were divided into two groups according to the random number table. The patients in the observation group were treated with cesarean section immediately after uterine embolization. The control group Patients were treated with cesarean section after injection of the drug, and the bleeding and rehabilitation outcomes were compared between the two groups. Results The total effective rate of clinical observation in observation group was 97.50%, which was significantly higher than that in control group (75.00%), the difference was statistically significant (P <0.05); the length of stay in observation group was shorter than that in control group, , And the VAS score at 2 hours after operation was lower than that of the control group (P <0.05). The recovery time of β-HCG in the observation group was shorter than that of the control group (P <0.05). Conclusion Immediate curettage of uterine embolization is effective in treating cervical pregnancy, which helps to reduce bleeding and promote faster recovery and is worth promoting.