子宫动脉栓塞术在剖宫产术后子宫瘢痕妊娠治疗中的应用价值分析  

Analysis of the application value of uterine artery embolization in the treatment of uterine scar pregnancy after cesarean section

作　　者：石英坤 SHI Ying-kun(Dalian Women's and Children's Medical Center(Group),Dalian 116000,China)

机构地区：[1]大连市妇女儿童医疗中心(集团),116000

出　　处：《中国现代药物应用》2022年第16期87-89,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析剖宫产术后子宫瘢痕妊娠应用子宫动脉栓塞术治疗的临床效果。方法64例剖宫产术后子宫瘢痕妊娠患者,依据随机抽签法分为治疗组和对照组,每组32例。对照组采用常规治疗,治疗组采用子宫动脉栓塞术治疗。对比两组临床相关指标、并发症发生情况、治疗前后生活质量评分及临床疗效。结果治疗组术中出血量(67.65±7.48)ml少于对照组的(98.65±6.95)ml,住院时间(7.33±2.14)d、手术时间(23.65±10.25)min、血人绒毛膜促性腺激素(HCG)恢复时间(45.24±2.33)d均短于对照组的(12.11±2.81)d、(42.16±17.32)min、(68.62±5.64)d,差异有统计学意义(P<0.05)。治疗组并发症发生率为3.13%,低于对照组的28.13%,差异有统计学意义(P<0.05)。治疗后,治疗组生理职能、精神状态、心理功能及社会功能评分分别为(93.58±3.64)、(92.68±4.01)、(93.05±1.69)、(93.11±2.81)分,均高于对照组的(86.74±4.92)、(86.57±4.20)、(86.44±2.98)、(86.37±2.89)分,差异均有统计学意义(P<0.05)。治疗组治疗总有效率93.75%高于对照组的65.63%,差异有统计学意义(P<0.05)。结论采取子宫动脉栓塞术治疗剖宫产术后子宫瘢痕妊娠患者,可有效改善其临床相关指标及生活质量,降低术后不良反应发生率,治疗效果突出,值得临床推广应用。Objective To analyze the clinical value of uterine artery embolization in the treatment of uterine scar pregnancy after cesarean section.Methods A total of 64 patients with uterine scar pregnancy after cesarean section were randomly divided into treatment group and control group,with 32 cases in each group.The control group was treated with conventional clinical treatment,and the treatment group was treated with uterine artery embolization.The clinical related indicators,complications,quality of life score before and after treatment,and clinical efficacy were compared between the two groups.Results The intraoperative blood loss(67.65±7.48)ml in the treatment group was less than(98.65±6.95)ml in the control group;the hospitalization time(7.33±2.14)d,operation time(23.65±10.25)min,recovery time of human chorionic gonadotropin(HCG)(45.24±2.33)d were shorter than(12.11±2.81)d,(42.16±17.32)min,(68.62±5.64)d in the control group;all the differences were statistically significant(P<0.05).The incidence of complications in the treatment group was 3.13%,which was lower than 28.13%in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of role-physical,mental state,psychological function and social function in the treatment group were(93.58±3.64),(92.68±4.01),(93.05±1.69),and(93.11±2.81)points,which were higher than(86.74±4.92),(86.57±4.20),(86.44±2.98),and(86.37±2.89)points in the control group,and the differences were statistically significant(P<0.05).The total effective rate 93.75%of the treatment group was higher than 65.63%in the control group,and the difference was statistically significant(P<0.05).Conclusion Uterine artery embolization has outstanding therapeutic effect in patients with uterine scar pregnancy after cesarean section,and can effectively improve their clinical related indicators and quality of life,reduce the incidence of postoperative adverse reactions,which is worthy of clinical promotion and application.

关 键 词：子宫动脉栓塞术 剖宫产 子宫瘢痕妊娠 治疗效果 

分 类 号：R714.22[医药卫生—妇产科学]