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目的:观察双侧子宫动脉栓塞术联合B超监护下清宫术治疗42例剖宫产切口瘢痕妊娠的疗效。方法:对剖宫产切口瘢痕妊娠42例患者采用双侧子宫动脉栓塞术治疗,患者在术后2天进行B超下清宫术。结果:42例患者中,40例均未行其他治疗而治愈,血β-HCG下降明显,无内外出血倾向,保守治疗成功率为95%,其中有2例发生白细胞减少,经过对症治疗,恢复正常。结论:双侧子宫动脉栓塞术联合B超监护下清宫术治疗剖宫产切口瘢痕妊娠的疗效好,具有较高的成功率,不良反应轻微,是一种比较好的治疗方法,值得在各基层医院推广使用。
Objective: To observe the curative effect of bilateral uterine artery embolization combined with curettage under B-ultrasound in treating 42 cases of cesarean scar pregnancy. Methods: Forty-two patients undergoing cesarean scar pregnancy were treated with bilateral uterine arterial embolization. Patients underwent B-subtotal hysteroscopic surgery 2 days after surgery. Results: Of the 42 patients, 40 cases were cured without any other treatment. The blood β-HCG decreased significantly with no tendency of internal and external bleeding. The success rate of conservative treatment was 95%, of which 2 cases had leukopenia. After symptomatic treatment and recovery normal. Conclusion: Bilateral uterine artery embolization combined with B-care under the curettage cesarean section scar pregnancy pregnancy has a good effect, with a high success rate, minor adverse reactions, is a good treatment, it is worth at all levels Hospital promotion and use.