CAJ | 학술논문

目的：对比甲氨蝶呤静脉注射和子宫动脉栓塞术治疗剖宫产术后子宫疤痕妊娠的临床疗效。方法收集我院20例剖宫产术后子宫疤痕妊娠病人，分为观察组对照组，观察组采用子宫动脉栓塞术，对照组采用甲氨蝶呤静脉注射，比较两组患者刮宫术中和术后出血量、住院时间、副反应及月经恢复情况。结果观察组患者住院时间及术中和术后出血量明显少于对照组( P<0.05)，术后月经恢复时间、术中副反应和例数情况两组相比无统计学差异(P>0.05)。结论治疗剖宫产术后子宫疤痕妊娠采用子宫动脉栓塞术治疗，疗效确切。
목적：대비갑안접령정맥주사화자궁동맥전새술치료부궁산술후자궁파흔임신적림상료효。방법수집아원20례부궁산술후자궁파흔임신병인，분위관찰조대조조，관찰조채용자궁동맥전새술，대조조채용갑안접령정맥주사，비교량조환자괄궁술중화술후출혈량、주원시간、부반응급월경회복정황。결과관찰조환자주원시간급술중화술후출혈량명현소우대조조( P<0.05)，술후월경회복시간、술중부반응화례수정황량조상비무통계학차이(P>0.05)。결론치료부궁산술후자궁파흔임신채용자궁동맥전새술치료，료효학절。
Objective:To analysis the effect of uterine artery embolization and methotrexate injection in treatment of the uterine scar pregnancy.Method:20 cases of cesarean scar pregnancy in our hospital were divided into the observation group and the control group.The observation group received uterine artery embolization while the control group received intravenous injection of methotrexate.Compared two groups of patients with bleeding,hospitalization time,side effects,recovery of menstruation.Result:The hospitalization time,intraoperative and postoperative bleeding of observation group was significantly less than that of the control group,P<0.05.Recovery time, number of side reaction of two groups showed no statistical difference,P>0.05. Conclusion:Treatment of cesarean scar pregnancy with uterine artery embolization have curative effect.