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目的比较剖宫产术后切口瘢痕妊娠有效的治疗方法。方法将171例子宫瘢痕妊娠患者分为两组,其中孕囊穿刺组86例和动脉栓塞组85例,比较两组治疗1周和2周后β-HCG水平,阴道出血量,住院时间,转经时间。结果治疗2周后,动脉栓塞组血β-HCG下降较孕囊穿刺组快,分别为80%和60%;治疗期间动脉栓塞组出血量明显低于孕囊穿刺组,分别为(40.32±21.37)ml和(71.27±31.12)ml,住院时间、转经时间短于孕囊穿刺组,分别为(32.8±4.6)d和(16.8±4.1)d,(41.9±4.1)d和(28.6±5.9)d,比较差异有统计学意义(P<0.05或0.01)。结论 CSP的治疗最好采用个体化的方法,情况容许采用子宫动脉栓塞术的介入方法,治疗周期短,效果确切,对提高患者生活质量有利。
Objective To compare the effective treatment of incisional scar pregnancy after cesarean section. Methods 171 cases of uterine scar pregnancy were divided into two groups, of which 86 cases of gestational puncture group and 85 cases of arterial embolism group. The levels of β-HCG, vaginal bleeding, length of hospital stay, After time. Results After 2 weeks of treatment, the decrease of β-HCG in arterial embolization group was 80% and 60% respectively compared with that in gestar sac puncture group. The bleeding volume in arterial embolization group was significantly lower than that in gestar sac puncture group (40.32 ± 21.37 (32.8 ± 4.6) days and (16.8 ± 4.1) days, (41.9 ± 4.1) days and (28.6 ± 5.9) days, respectively ) d, the difference was statistically significant (P <0.05 or 0.01). Conclusion The treatment of CSP is best to use an individualized method, the situation allows the use of uterine artery embolization intervention method, the treatment cycle is short, the exact effect, to improve the quality of life of patients.