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目的:探讨彩色多普勒超声检查对子宫疤痕妊娠病例子宫动脉栓塞术疗效评估的价值。方法:收集行子宫动脉栓塞术治疗的子宫疤痕妊娠病例60例,通过二分类变量Logistic回归分析筛选出子宫动脉栓塞术后行刮宫术治疗效果的影响因素。结果:Logistic回归分析显示:妊娠物距浆膜层距离比数比(OR)为0.162及血管阻力指数(RI)OR<0.001为影响子宫动脉栓塞术后行刮宫术疗效的因素。结论:彩色多普勒超声检查是评估子宫疤痕妊娠行子宫动脉栓塞术合并刮宫术疗效的有效方法。
Objective: To evaluate the value of color Doppler ultrasonography in assessing the efficacy of uterine artery embolization in uterine scar pregnancy. Methods: Sixty cases of uterine scar pregnancy treated with uterine arterial embolization were collected. The influencing factors of curettage after uterine artery embolization were screened by Logistic regression analysis of dichotomous variables. Results: Logistic regression analysis showed that the odds ratio (OR) of 0.162 for pregnancy to serosa and OR of 0.001 for vascular resistance index (RI) were the factors influencing the efficacy of curettage after uterine artery embolization. Conclusion: Color Doppler ultrasonography is an effective method to evaluate the efficacy of uterine artery embolization combined with curettage in uterine scar pregnancy.