摘要
目的探索瘢痕妊娠患者介入治疗方案,即子宫动脉栓塞术(Uterine arterial embolization, UAE)联合甲氨蝶呤(Methotrexate, MTX)后行清宫治疗体系的临床效果。方法将2013年1月至2019年6月于内蒙古自治区人民医院住院治疗的86例剖宫产瘢痕部位妊娠患者作为研究对象,回顾性分析治疗方案,对比不同治疗方案对患者的术中质量以及术后恢复的影响。结果介入组患者术中质量显著优于非介入组患者,且术后恢复质量优于非介入组。结论使用UAE+MTX联合法可有效地治疗瘢痕妊娠,术中出血少,手术时间短,住院时间短,易于操作,患者乐于接受,可以在临床中进行推广。
Objective To explore the clinical effect of interventional therapies as uterine artery embolization(UAE)combined with methotrexate(MTX)in the treatment of cesarean scar pregnancy.Methods From January 2013 to June 2019,86 cases of cesarean scar pregnancy were treated in the people's Hospital of Inner Mongolia Autonomous Region with the effect of different treatments on the intraoperative qualities and postoperative recovery of patients compared.Results The intraoperative qualities of patients in the intervention group was significantly better than that in the control group,furthermore,the qualities of postoperative recovery in the intervention group were significantly improved.Conclusion The interventional therapies with the combination of UAE and MTX could effectively treat the cesarean scar pregnancy,with less bleeding during operation,shorter operation time,shorter hospitalization time,easy operation,and the improved patient's willingness,which can be popularized in clinical practice.
作者
毛建英
杭锦椰
MAO Jian-yingA;HANG Jin-ye(Department of Obstetrics and Gynecology,People's Hospital of Inner Mongolia Autonomous Region,Hohhot 010017 China)
出处
《内蒙古医学杂志》
2020年第5期538-540,共3页
Inner Mongolia Medical Journal
关键词
瘢痕妊娠
子宫动脉栓塞术
甲氨蝶呤
清宫术
cesarean scar pregnancy
uterine artery embolization
intramuscular injection of methotrexate
curettage
