摘要
目的:研究子宫动脉介入化疗栓塞术在临床上对剖宫产切口妊娠的治疗效果。方法:回顾性分析我院2007年1月至2012年12月的收治的切口妊娠患者53例。并将53例患者随机分为介入治疗组28例、保守治疗组25例,介入治疗组患者采用双侧子宫动脉栓塞术后进行刮宫术的治疗,保守治疗组患者采用口服米非司酮以及肌内注射MTX后进行刮宫术的治疗。对两组患者的临床资料包括出血量,住院时间,降血HCG时间等进行统计学分析。结果:介入治疗组患者的出血量,住院时间,降血HCG时间明显低于保守治疗组患者的情况,差异具有显著性(P<0.05)。介入治疗组和保守治疗组间的不良反应差异无统计学意义(P>0.05)。结论:对患者采用子宫动脉介入对剖宫产切口妊娠进行治疗的方式,可以对切口妊娠大出血进行有效的控制,同时也可以对妊娠物进行有效的杀死。
Objective： To study the clinical effects of uterine artery chemoembolization on the treatment of cesarean scar pregnancy.Methods： We retrospectively analyzed the clinical data of 53 patients with cesarean scar pregnancy who have been undergoing the uterine artery chemoembolization therapy in our hospital from January 2006 to December 2011.And 53 patients were divided into two groups.28 cases in the intervention group were treated by uterine artery embolization,and the other 25 cases in the conservative treatment group were treated by oral mifepristone and injection of MTX.The clinical data of the blood loss,hospitalization,and lowering blood HCG time for statistical were analyzed.Results： The blood loss,hospital stay,lowering blood HCG time of the intervention group was significantly lower than that of the conservative treatment group,the difference was significant（P 0.05）.Conclusion： Uterine artery chemoembolization in the treatmentof cesarean scar pregnancy would effectively control the incision pregnancy bleeding,and effectively kill the gravid.
出处
《现代生物医学进展》
CAS
2013年第17期3247-3249,共3页
Progress in Modern Biomedicine
基金
国家自然科学基金项目(81172682)
关键词
介入子宫动脉栓塞术
切口妊娠
保守治疗
Uterine artery embolization intervention
Incision pregnancy
Conservative treatment
