子宫动脉栓塞联合清宫术治疗子宫瘢痕部位妊娠临床研究  

Clinical study on uterine artery embolization combined with curettage in the treatment of cesarean scar pregnancy

作　　者：葛俊丽[1] 吕小慧[1] 罗丹霞[1] 刘朵朵[1] 陈必良[1] 

机构地区：[1]第四军医大学西京医院妇产科,西安710032

出　　处：《山西医科大学学报》2016年第7期636-639,共4页Journal of Shanxi Medical University

摘　　要：目的探讨单纯子宫动脉栓塞联合清宫术治疗剖宫产瘢痕部位妊娠的价值。方法回顾性分析我院2014-01-2015-08确诊的60例子宫瘢痕部位妊娠患者的临床资料,根据治疗方法不同分为两组：子宫动脉栓塞组（子宫动脉栓塞联合清宫术）和甲氨蝶呤组（妊娠囊注射甲氨蝶呤联合清宫术）。结果子宫动脉栓塞组患者的术中出血量、住院时间、血HCG降至正常的时间明显小于甲氨蝶呤组,差异具有统计学意义（P〈0.05）。两组间的不良反应发生率差异无统计学意义（P〉0.05）。结论子宫动脉栓塞联合清宫术是一种安全、有效的治疗子宫瘢痕部位妊娠的方法,能预防大出血和减少不必要的子宫切除。Objective To explore the value of uterine artery embolization combined with curettage in the treatment of cesarean scar pregnancy. Methods Clinical data of 60 cases of cesarean scar pregnancy from January 2014 to August 2015 in our hospital were retrospectively analyzed. According to different treatments,60 cases were divided into two groups： uterine artery embolization group（ uterine artery embolization combined with curettage） and methotrexate group（ gestational sac injection of methotrexate combined with curettage）. Results The operative blood loss,hospitalized stay,time of blood HCG descending to normal level in uterine artery embolization group were lower than those in methotrexate group（ P〈0.05）. The incidence of adverse reactions had no significant difference between the two groups（ P〈0.05）. Conclusion The uterine artery embolization combined with curettage is a safe and effective procedure for treating cesarean scar pregnancy,and it could prevent the uncontrollable bleeding and reduce the unnecessary uterine loss.

关 键 词：子宫动脉栓塞术 剖宫产 子宫瘢痕部位妊娠 

分 类 号：R714.22[医药卫生—妇产科学]