摘要
目的探讨经子宫动脉介入栓塞联合清宫术对剖宫产瘢痕妊娠的治疗价值。方法 36例瘢痕妊娠患者随机分为化疗组(18例)和动脉栓塞组(18例),比较各组治疗后血清人绒毛膜促性腺激素(β—hCG)恢复至正常时间、出血量、住院时间、峡部包块消失时间、月经恢复时间。结果化疗组和动脉栓塞组治愈率分别为72.22%和94.44%。动脉栓塞组血β—HCG水平下降快于化疗组。化疗组和动脉栓塞组血β—HCG恢复至正常时间分别为(44.3±6.4)天和(21.2±3.4)天,两组比较差异有统计学意义(P<0.01)。化疗组和动脉栓塞组出血量分别为(120.27±80.81)ml和(30.23±9.31)ml,两组比较差异有统计学意义(P<0.01)。化疗组和动脉栓塞组住院时间分别为(31.7±5.1)天和(10.3±2.9)天,两组比较差异有统计学意义(P<0.O5)。化疗组和动脉栓塞组峡部包块完全吸收时间时间分别为(89.8±7.3)天和(43.7±l2.7)天,两组比较差异有统计学意义(P<0.05)。化疗组和动脉栓塞组3个月内月经恢复正常者比较分别为6例和12例,两组比较差异有统计学意义(P<0.05)。结论子宫动脉栓塞术的疗效明显优于化疗组,血β—HCG水平恢复快、出血量少、住院时间短、月经恢复快,是目前值得推广应用的技术。
Objective To discuss the value of uterine artery embolization（UAE）combined with curettage for cesarean sear pregnancy（CSP）. Methods Thirty-six cases of CSP were randomly divided into chemotherapy group（ n = 18） and UAE group（n = 18）. Both groups were compared for the time for serum B-hCG returning to normal,blood loss,hospital stay,the time for the disappearance of isthmus mass and for menstrual recovery. Results The curative rate was 72. 22% and94. 44% respectively in chemotherapy group and UAE group. The serum β-HCG level decreased more quickly in UAE group than in chemotherapy group. The time for β-HCG returning to normal was（44. 3 ± 6. 4）days and（21. 2 ± 3. 4）days respectively in chemotherapy group and UAE group,there was statistically significant difference between the two groups（ P 〈0. 01）. The amount of blood was（120. 27 ± 180. 81）ml and（30. 23 ± 39. 31）ml respectively in chemotherapy group and UAE group,there was statistically significant difference between the two groups（P 〈0. 01）. The hospital stay was（31. 7 ±5. 1）days and（10. 3 ± 2. 9） days respectively in chemotherapy group and UAE group,there was statistically significant difference between the two groups,（P 〈0. 05）. The time for the disappearance of isthmus mass was（89. 8 ± 7. 3）） days and（43. 7 ± l2. 7） days,respectively chemotherapy group and UAE group there was statistically significant difference between the two groups（P 〈0. 05）. Six cases in chemotherapy group had their menstruation recovered within 3 months and 12 cases in UAE group. Significant difference was found between the two groups（P 〈0. 05）. Conclusions UAE is superior to chemotherapy in clinical efficacy,for it is of quick recovery of serum B-hCG level,less bleeding,short hospital stay and rapid menstrual recovery. Therefore,it is a technique worthy of being applied at present.
出处
《社区医学杂志》
2014年第18期18-20,共3页
Journal Of Community Medicine
