子宫动脉栓塞术治疗剖宫产后子宫瘢痕部位妊娠40例临床分析  

Clinical analysis of uterine arterial embolization for treatment of cesarean scar pregnancy in 40 cases

作　　者：彭方亮[1] 周晓[1] 毛世华[2] 

机构地区：[1]重庆市急救医疗中心妇产科,400014 [2]重庆三峡中心医院妇产科,404000

出　　处：《重庆医学》2012年第12期1189-1190,共2页Chongqing medicine

摘　　要：目的探讨子宫动脉栓塞术治疗剖宫产后子宫瘢痕部位妊娠的临床疗效。方法将73例剖宫产后子宫瘢痕部位妊娠分为子宫栓塞组和药物治疗组,观察两组患者的临床疗效。结果刮宫术前准备时间、刮宫术出血量、住院时间和术后人血绒毛膜促性腺激素(β-HCG)水平子宫栓塞组明显低于药物治疗组,差异有统计学意义(P<0.01),住院费用发现两组差异无统计学意义(P>0.05)。结论子宫动脉栓塞术治疗子宫剖宫产瘢痕处妊娠具有快速、安全的优点,值得临床推广应用。Objective To investigate the clinical value of uterine arterial embolization for treatment of cesarean scar pregnancy.Methods 73 cases with cesarean scar pregnancy were divided into embolism group and treatment group.The clinical curative effect of two groups was observed.Results The preparation time before curettage,curettage bleeding,hospital stay,and postoperative beta-HCG levels in embolism group were significantly lower than those of treatment group（P〈0.01）.There was no significant difference in cost of hospitalization between the two groups（P〈0.05）.Conclusion Uterine arterial embolization is a fast and safe method for treatment of uterine cesarean scar pregnancy.It is worthy of clinical application.

关 键 词：子宫动脉栓塞术 妊娠 异位 剖宫产术 甲氨蝶呤 

分 类 号：R714.22[医药卫生—妇产科学]