子宫动脉化疗栓塞术结合宫腔镜腹腔镜治疗剖宫产瘢痕妊娠疗效分析  

作　　者：王浩[1] 王贤芳[1] 施宝美[1] 吴萍[1] 

机构地区：[1]浙江省义乌市中心医院,322000

出　　处：《浙江临床医学》2018年第3期499-500,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨以子宫动脉化疗栓塞术为基础，结合宫腔镜、腹腔镜治疗剖宫产瘢痕妊娠的临床意义。方法根据病情不同，选择保守治疗，或以子宫动脉化疗栓塞为基础，结合宫腔镜、腹腔镜或宫腹腔镜联合治疗，在治疗效果、住院天数、血人绒毛膜促性腺激素下降速度等方面作横向比较。结果治疗效果总体比较差异无统计学意义，均可达到治愈目的。不同组别间血人绒毛膜促性腺激素下降速度差异有统计学意义。结论以子宫动脉化疗栓塞术为基础治疗剖宫产瘢痕妊娠方法简单易行，治疗效果好，值得临床推广使用。Objective To explore the clinical significance of uterine artery chemotherapy embolization combined with hysteroscopy and laparoscopy in the treatment of cesarean scar pregnancy. Methods According to different illness, the choice of conservative therapy, or uterine artery chemoembolization and hysteroscopy, laparoscopy or laparoscopy combined treatment were used to compare the treatment effect, hospitalization time, blood HCG decreased speed etc. Results There was no obvious difference between the therapeutic effect, all could achieve the purpose of cure.The rate of blood HCG decreased in different groups. Conclusion The treatment of cesarean scar pregnancy with uterine artery chemoembolization is simple and effective. It is worthy of＂ clinical use.

关 键 词：子宫动脉化疗栓塞术 剖宫产瘢痕妊娠 宫腹镜 腹腔镜 

分 类 号：R735.7[医药卫生—肿瘤]