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目的分析并探讨子宫动脉化疗栓塞术对治疗剖宫产后瘢痕妊娠大出血临床疗效。方法选取我院2014年6月~2016年1月产科剖宫产后瘢痕妊娠大出血的20例患者作为本次研究对象,回顾性分析患者的出血情况,采用双侧子宫动脉化疗栓塞术治疗,并观察患者的治疗结果。结果经手术治疗后,所有患者全部栓塞成功,β—HCG水平检测恢复正常,均痊愈出院。结论对剖宫产后瘢痕妊娠大出血患者采用双侧子宫动脉化疗栓塞术,可避免子宫切除,为患者保留生育能力,适合在产科临床应用。
Objective To analyze and discuss the clinical effect of uterine arterial chemoembolization on the treatment of post-cesarean scar hypertrophy. Methods Twenty patients with hypertensive scar pregnancy after cesarean section in our hospital from June 2014 to January 2016 were selected as the object of this study. The bleeding of the patients was retrospectively analyzed. The patients were treated with bilateral uterine arterial chemoembolization Observe the patient’s treatment. Results After the operation, all the patients were successfully embolized and the detection of β-HCG returned to normal. All cases were cured and discharged. Conclusions Bilateral uterine arterial chemoembolization in patients with pregnancy-induced bleeding after cesarean section can avoid hysterectomy, retain fertility for patients and is suitable for clinical application in obstetrics.