栾会娟

子宫动脉栓塞术治疗剖宫产后切口妊娠疗效观察

栾会娟

目的 探讨子宫动脉栓塞术治疗剖宫产后切口妊娠的临床疗效。方法 抽取我院收治的剖宫产后切口妊娠患者71例，随机分为对照组35例，观察组36例，对照组行甲氨蝶呤治疗，观察组行子宫动脉栓塞术，比较两组临床疗效。结果 观察组出血量、血β-HCG降至正常值及住院时间均小于对照组，差异具有统计学意义（P＜0.05）；不良反应发生率组间比较，差异无统计学意义（P＞0.05）。结论 子宫动脉栓塞术治疗剖宫产后切口妊娠，疗效良好，安全性高。

子宫动脉栓塞术；剖宫产后切口妊娠；疗效

【Abstract】

ObjectiveTo investigate the clinical effect of uterine artery embolization in the treatment of cesarean scar pregnancy. Methods 71 cases of pregnancy after cesarean section in our hospital were selected. Randomly divided into the control group of 35 cases，and 36 cases in the observation group，control group was treated with methotrexate，the observation group underwent curettage after uterine artery embolization. The clinical efficacy of the two groups was compared. Results The blood loss，the blood β-HCG to the normal value and the length of stay in hospital in the observation group were less than those in the control group，the difference was statistically significant（P＜0.05）. There was no significant difference in the incidence of adverse reactions between the two groups（P＞0.05）. Conclusion Uterine artery embolization in the treatment of cesarean scar pregnancy，the effect is significant，and hashigh security.

【Key words】Uterine artery embolization，Cesarean section incision pregnancy，Curative effect

剖宫产是解决产妇难产的重要产科手术，可及时有效挽救围产儿及产妇生命，但术后并发症较多，其中剖宫产后切口妊娠为剖宫产产妇的远期并发症，极易导致产妇子宫破裂、阴道出血，对产妇的生命安全造成极大威胁［1-2］。本研究选取在我院接受治疗的剖宫产后切口妊娠患者71例，通过对比，以探讨子宫动脉栓塞术治疗剖宫产后切口妊娠的临床疗效。报道如下。

1　资料和方法

1.1一般资料

抽取2015年3月～2016年1月在我院接受治疗的剖宫产后切口妊娠患者71例，随机分组，对照组35例，年龄24～38岁，平均年龄（29.52±4.18）岁；观察组36例，年龄23～38岁，平均年龄（29.48±4.20）岁。两组基本资料比较，差异无统计学意义（P ＞0.05）。

1.2方法

对照组肌内注射甲氨蝶呤刮宫术治疗：肌内注射甲氨蝶呤（广东岭南制药有限公司，国药准字H20074246）1 mg/kg，1周后若血β-HCG下降在50%以下则追加1次，总剂量≤200 mg，当患者血β-HCG定量在100 IU/L且子宫局部血流减少时，行清宫术。……