中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
24期
108-109
,共2页
子宫动脉栓塞术%甲氨蝶呤%剖宫产%子宫瘢痕妊娠
子宮動脈栓塞術%甲氨蝶呤%剖宮產%子宮瘢痕妊娠
자궁동맥전새술%갑안접령%부궁산%자궁반흔임신
Uterine arterial embolization%Methotrexate%Cesarean section%Uterine scar pregnancy
目的：研究和分析采用子宫动脉化疗栓塞治疗剖宫术后子宫瘢痕妊娠的临床效果。方法随机选择130例该院剖宫产术后子宫瘢痕妊娠患者作为研究对象随机把其分为观察组和对照组，对照组患者只借助B超引导进行清宫术治疗，而观察组则采用在双侧子宫动脉，介入化疗栓塞术结合清宫共同治疗，经过3个月随访，将两组患者的治疗效果进行对比。结果经过对患者3个月的随访观察，观察组中患者子宫内包块消失时间以及血清p-HGG值恢复正常的时间分别为（15.2±5.1）d、（26.2±8.5）d，都明显短于对照组，该两组患者的子宫内包块消失时间以及血清p-HGG值恢复正常的时间对比，差异有统计学意义，（P<0.05），其差异存在统计学意义；经过治疗以后，观察组总有效率为100%，明显高于对照组（72.6%）,该两组患者的总有效率对比，差异有统计学意义（P<0.05）。结论利用双侧子宫动脉介入化疗栓塞术，来治疗剖宫产术后子宫瘢痕妊娠疗效明显，有较大的应用推广价值。
目的：研究和分析採用子宮動脈化療栓塞治療剖宮術後子宮瘢痕妊娠的臨床效果。方法隨機選擇130例該院剖宮產術後子宮瘢痕妊娠患者作為研究對象隨機把其分為觀察組和對照組，對照組患者隻藉助B超引導進行清宮術治療，而觀察組則採用在雙側子宮動脈，介入化療栓塞術結閤清宮共同治療，經過3箇月隨訪，將兩組患者的治療效果進行對比。結果經過對患者3箇月的隨訪觀察，觀察組中患者子宮內包塊消失時間以及血清p-HGG值恢複正常的時間分彆為（15.2±5.1）d、（26.2±8.5）d，都明顯短于對照組，該兩組患者的子宮內包塊消失時間以及血清p-HGG值恢複正常的時間對比，差異有統計學意義，（P<0.05），其差異存在統計學意義；經過治療以後，觀察組總有效率為100%，明顯高于對照組（72.6%）,該兩組患者的總有效率對比，差異有統計學意義（P<0.05）。結論利用雙側子宮動脈介入化療栓塞術，來治療剖宮產術後子宮瘢痕妊娠療效明顯，有較大的應用推廣價值。
목적：연구화분석채용자궁동맥화료전새치료부궁술후자궁반흔임신적림상효과。방법수궤선택130례해원부궁산술후자궁반흔임신환자작위연구대상수궤파기분위관찰조화대조조，대조조환자지차조B초인도진행청궁술치료，이관찰조칙채용재쌍측자궁동맥，개입화료전새술결합청궁공동치료，경과3개월수방，장량조환자적치료효과진행대비。결과경과대환자3개월적수방관찰，관찰조중환자자궁내포괴소실시간이급혈청p-HGG치회복정상적시간분별위（15.2±5.1）d、（26.2±8.5）d，도명현단우대조조，해량조환자적자궁내포괴소실시간이급혈청p-HGG치회복정상적시간대비，차이유통계학의의，（P<0.05），기차이존재통계학의의；경과치료이후，관찰조총유효솔위100%，명현고우대조조（72.6%）,해량조환자적총유효솔대비，차이유통계학의의（P<0.05）。결론이용쌍측자궁동맥개입화료전새술，래치료부궁산술후자궁반흔임신료효명현，유교대적응용추엄개치。
Objective To study the clinical effect of uterine arterial chemoembolization in the treatment of uterine scar pregnancy after cesarean section. Methods 130 patients with uterine scar after cesarean section in our hospital were selected as the research object and randomized into observation group in which bilateral uterine arterial chemoembolization combined with uterine curettage was performed and control group in which B ultrasound-guided uterine curettage was done. The clinical effects were compared be-tween the two groups after 3 months follow-up. Results 3 months follow-up showed that masses disappear time and serum p-HGG recovery time were (15.2±5.1)d and (26.2±8.5)d in the observation group, significantly less than those in the control group with statistical differences, P﹤0.05; after treatment, the overall effective rate was higher in the observation group than in the control group with statistically significant differences (100%vs 72.6%, P﹤0.05). Conclusion Bilateral uterine arterial chemoembolization is worthy of promotion in the treatment of uterine scar pregnancy after cesarean section.
