论文部分内容阅读
目的探讨剖宫产术后瘢痕处妊娠行子宫动脉栓塞术联合经阴道病灶切除术的疗效。方法收集88例接受治疗的早期瘢痕妊娠患者的临床资料,分析总结这些患者的诊断和治疗特点。结果患者均有剖宫产史和停经史,血绒毛膜促性腺素(β-hCG)均明显升高,超声检查时发现瘢痕妊娠。接受子宫动脉栓塞术、清宫术及经阴道子宫瘢痕妊娠病灶切除术后,患者均痊愈出院。子宫动脉栓塞术对于减少清宫及经阴道病灶切除术时出血效果显著,对比清宫组,经阴道病灶切除组在控制大出血、术后血β-hCG下降速度及转阴时间、月经复潮时间上均有优势(P<0.01),但住院费用增加(P<0.01)。结论子宫动脉栓塞术联合经阴道病灶切除术治疗子宫瘢痕处妊娠效果显著,可在有条件的医院开展。
Objective To investigate the curative effect of uterine arterial embolization combined with transvaginal focal resection in cesarean scar pregnancy. Methods The clinical data of 88 patients with early scar pregnancy who were treated were collected and the diagnosis and treatment characteristics of these patients were analyzed and summarized. Results All patients had history of cesarean section and menopause, and the serum levels of chorionic gonadotropin (β-hCG) were significantly increased. Scar pregnancy was found on sonography. After receiving uterine artery embolization, curettage and transvaginal uterine scar pregnancy excision, the patients were cured and discharged. Uterine artery embolization for the reduction of hysterectomy and transvaginal lesion when the effect of bleeding was significantly better than the Qing group, transvaginal resection group in the control of bleeding, postoperative blood β-hCG decline in speed and negative time, menstrual recuperation time (P <0.01), but the cost of hospitalization increased (P <0.01). Conclusion Uterine artery embolization combined with transvaginal focal resection for the treatment of uterine scar pregnancy at significant effect, can be carried out in hospitals with conditions.