子宫动脉栓塞术对瘢痕部位妊娠疗效、血清β-HCG的影响及不良反应的分析  

Effect of uterine arterial embolization on cesarean scar pregnancy and serum levels of β-HCG and its adverse reactions

作　　者：胡莉[1] 黄晓萍[2] HU Li;HUANG Xiaoping(Department of Obstetrics and Gynecology,Shehong Hospitalof Traditional Chinese Medicine,Suining 629200,Sichuan,China;Department of Obstetrics and Gynecology,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]射洪县中医院妇产科,四川遂宁629200 [2]川北医学院附属医院妇产科,四川南充637000

出　　处：《中国性科学》2020年第1期71-74,共4页Chinese Journal of Human Sexuality

摘　　要：目的探讨子宫动脉栓塞术对子宫瘢痕部位妊娠的疗效、血清β人绒毛膜促性腺激素(β-HCG)的影响及不良反应的分析。方法选取2015年1月至2018年1月射洪县中医院诊治的106例子宫瘢痕部位妊娠患者作为研究对象。根据治疗方法分为药物组、手术组和栓塞组,比较三组患者的有效清宫率、出血量、住院时间、住院花费、血清β-HCG水平、不良反应情况。结果栓塞组、手术组患者清宫有效率明显高于药物组,出血量、住院时间、术后血清β-HCG水平、不良反应发生率明显低于药物组,以上差异均具有统计学意义(均P<0.05)。栓塞组住院费用为19 329.78元,较手术组及药物组费用高,差异具有统计学意义(P<0.05)。结论子宫动脉栓塞术可显著提高子宫瘢痕部位妊娠有效清宫率、降低出血率,缩短住院时间、减少不良反应、快速降低血清β-HCG,但住院花费较高。Objective To investigate the effect of uterine artery embolization on cesarean scar pregnancy and serum levels of β Human Chorionic Gonadotropin(β-HCG) and its adverse reactions. Methods A retrospective analysis of 106 patients with cesarean scar pregnancy from January 2015 to January 2018 was performed.(All the patients were divided into drug group, surgery group, and embolization group according to the treatment method. The success rate, amount of blood loss, hospitalization days, hospitalization expenses, the serum levels of β-HCG and adverse reactions were compared among the groups. Results The success rate in the embolization group and surgery groups was significantly higher than that in the drug group, and the amount of blood loss, hospitalization days, postoperative serum β-HCG levels, and incidence of adverse reactions were significantly lower than those in the drug group, all with statistically significant differences(all P<0.05). The cost of hospitalization in the embolization group was 19,329.78 yuan, which was higher than that of the surgery group and the drug group, with statistically significant differences(P<0.05). Conclusions Uterine arterial embolization can significantly improve the success rate of cesarean scar pregnancy, reduce the bleeding rate, shorten hospitalization days, reduce the incidence of adverse reactions, and rapidly reduce serum β-HCG, but with higher hospitalization costs.

关 键 词：子宫动脉栓塞术 瘢痕部位妊娠 产后出血 

分 类 号：R714[医药卫生—妇产科学]