摘要
目的深入探究子宫动脉栓塞术在治疗妊娠滋养细胞肿瘤方面的临床疗效。方法随机选取2013年1月至2015年3月在我院妇产科接受治疗的180例妊娠滋养细胞肿瘤患者，按治疗手段的不同将其均分为对照组与观察组。对照组采用常规妊娠滋养细胞肿瘤剔除术进行治疗，观察组患者则采用子宫动脉栓塞术进行治疗。对比分析两组不同治疗手段对妊娠滋养细胞肿瘤患者的临床疗效。结果采用子宫动脉栓塞术治疗的观察组仅3例无效，总有效率达93．33％；而采取常规妊娠滋养细胞肿瘤剔除术的对照组无效人数达26例，其总有效率仅为71．11％，两种治疗手段差异有统计学意义（P〈0．05）。同时，对照组患者共计26例患者出现低热、肠胃不适以及子宫穿孔等不良反应，不良反应率达28．89％，观察组患者仅5例患者出现肠胃不适和低热的不良反应，不良反应率为5．56％，两组对比，P〈0．05。而在手术时间、术中出血量、下床时间、出院时间等指标方面，两组比较差异无统计学意义，P〉0．05。结论在妊娠滋养细胞肿瘤治疗上采用子宫动脉栓塞术进行治疗不仅疗效显著，而且不良反应少，值得重视。
Objective To explore the clinical efficacy of uterine artery embolization in the treatment of gestational trophoblastic tumor. Methods 180 patients with gestational trophoblastic tumor treated at our department from January, 2013 to March, 2015 were randomly selected and divided into a control group and an observation group according to different treatment methods. The control group were treated with uterine myomectomy and the observation group with uterine artery embolization. The clinical efficacies were compared between these two groups. Results 3 cases were effectless in the observation group, with a total effective rate of 93.33%; while 26 cases in the control group, with a total efficiency of 71.11%; with a statistical difference between these two groups （P〈0.05）. 26 cases had low fever, stomach discomfort, uterine perforation, and other adverse reactions in the control group, with an incidence of adverse reactions of 28.89%; while only 5 in the observation group patients, with an incidence of adverse reactions of 5.56%; with a statistical difference between these two groups （P〈0.05）. There were no statistical differences in operation time, intraoperative bleeding volume, time getting off bed, hospitalization time, etc. between these two groups （P〉0.05）. Conclusions Uterine artery embolization in the treatment of gestational trophoblastic tumor has obvious curative effect and fewer adverse reactions.
出处
《国际医药卫生导报》
2015年第15期2181-2184,共4页
International Medicine and Health Guidance News
关键词
妊娠滋养细胞
子宫剔除术
子宫肿瘤
子宫动脉栓塞术
Gestational trophoblastic
Uterine myomectomy
Uterine fibroids
Uterine arteryembolization
