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目的探讨高选择性子宫动脉栓塞技术在子宫瘢痕处妊娠治疗中的应用效果。方法选取2013年5月—2014年4月吴中人民医院收治的子宫瘢痕处妊娠患者76例,将患者随机分为观察组(40例)与对照组(36例)。对照组患者予以孕囊穿刺术,观察组患者予以高选择性子宫动脉栓塞技术。观察两组患者治疗结局、临床疗效〔术中出血量、住院时间、月经恢复时间、人绒毛膜促性腺激素(β-HCG)下降至参考范围时间〕及术后并发症。结果两组患者治疗成功率比较,差异无统计学意义(P>0.05);观察组患者术中出血量少于对照组,住院时间、月经恢复时间、β-HCG下降至参考范围时间短于对照组,差异均有统计学意义(P<0.05);两组患者术后并发症发生率比较,差异无统计学意义(P>0.05)。结论高选择性子宫动脉栓塞技术在子宫瘢痕处妊娠治疗中的应用效果显著,有助于患者康复,且术后并发症少,安全、有效。
Objective To investigate the effect of high-selective uterine artery embolization in pregnancy treatment of uterine scar. Methods 76 pregnant women with uterine scar treated in Wuzhong People’s Hospital from May 2013 to April 2014 were randomly divided into observation group (40 cases) and control group (36 cases). Patients in the control group were treated with gestational sac puncture, and patients in the observation group were treated with highly selective uterine arterial embolization. The curative effect was observed in two groups. The clinical curative effect (intraoperative blood loss, hospitalization time, menstruation recovery time, human chorionic gonadotropin (β-HCG) decreased to the reference range) and postoperative complications were observed. Results There was no significant difference between the two groups in the success rate of treatment (P> 0.05). The bleeding volume in the observation group was less than that in the control group. The length of hospitalization, menstruation recovery and the decline of β-HCG in the reference range were shorter than those in the control There was significant difference between the two groups (P <0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P> 0.05). Conclusion High selective uterine artery embolization in the treatment of uterine scar pregnancy effect is significant, is conducive to rehabilitation of patients, and less postoperative complications, safe and effective.