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目的观察子宫动脉栓塞术治疗剖宫产后瘢痕妊娠的临床效果。方法选取医院2012年1月-2016年7月收治的剖宫产后瘢痕妊娠患者40例,随机分为观察组及对照组,每组20例。对照组给予甲氨蝶呤肌内注射治疗,观察组给予子宫动脉栓塞术治疗。观察2组患者的临床效果、住院时间、阴道流血量、血β-HCG。结果观察组总有效率为95.00%高于对照组的70.00%,差异有统计学意义(P<0.05)。观察组的住院时间及血β-HCG转归时间短于对照组,阴道出血量少于对照组,差异均有统计学意义(P<0.05)。结论子宫动脉栓塞术治疗剖宫产后瘢痕妊娠疗效显著,并且能明显缩短住院时间,安全性较好,值得临床推广应用。
Objective To observe the clinical effect of uterine artery embolization in the treatment of cesarean scar pregnancy. Methods Forty patients with cesarean scar pregnancy admitted from January 2012 to July 2016 in our hospital were randomly divided into observation group and control group, with 20 cases in each group. The control group was given intramuscular injection of methotrexate, and the observation group was given uterine artery embolization. The clinical effects, length of hospital stay, vaginal bleeding and blood β-HCG were observed in two groups. Results The total effective rate in the observation group was 95.00%, which was significantly higher than that in the control group (70.00%) (P <0.05). The hospitalization time and blood β-HCG prognosis in observation group were shorter than those in control group, and the amount of vaginal bleeding was less than that in control group. The differences were statistically significant (P0.05). Conclusions Uterine artery embolization is effective in treating post-cesarean scar pregnancy, and can significantly shorten the hospital stay, which is safe and worthy of clinical application.