摘要
目的：研究子宫切口瘢痕妊娠合理的治疗方案选择。方法：回顾性分析收治的82例子宫切口瘢痕妊娠患者的诊治过程，根据治疗方法的不同分为2组。 A组：米非司酮配伍米索前列醇＋B超监测下清宫组（ n ＝38）；B组：子宫动脉介入栓塞术＋B超监测下清宫组（n＝44）。组间比较治疗效果的差异。结果：A组、B组治疗成功率分别为84．2％（32／38），100％（44／44）。2组治疗成功率比较差异具有统计学意义（ P ＜0．05）。2组患者的年龄、绝经期、孕囊的大小和初始血人绒毛膜促性腺激素（β－HCG）水平比较，差异均无统计学意义（ P ＞0．05）。2组患者住院时间、血β－HCG恢复正常时间和子宫内包块消失时间比较，差异有统计学意义（ P ＜0．01）。 UAE ＋清宫组住院天数、术后血β－HCG转阴和包块消失的时间最短，差异显著。结论：子宫动脉栓塞＋清宫术，治疗效果良好、并发症少、术后恢复快，建议作为首选的治疗方案。
Objective：To explore the effect of different methods in treatment of cesarean sear pregnancy （ CSP） .Methods：The clini-cal data of 82 patients with cesarean scar pregnancy in this department were retrospectively analyzed.These patients were divided into tow groups according to their treatment methods.Patients in group A （n=38） were treated with plus curettage after Mifepristone and misopm-stol.Patients in group B （ n=44 ） were treated with embolization of uterine artery plus cuettage.Results： The curerates of these two groups were 84.2%（group A ）,and 100%（group C ） respectively,and the difference among 2 groups was significant（ P 〈0.05）.Two was no significant difference in age,menopause time,size of gestational sac and the initial level ofβHCG among these two groups （ P 〉0.05）.The cost in group B was more economic with shorter duration of hospitalization than A groups,and their blood level ofβ-HCG had been dropped to norm a l and their mass had been disappeared （P 〈0.01）.Conclusion：The embolization of uterine artery plus curettage has good effect with quick recovery and without significant complications,hence it is worthy to be recommended for the fist choice in treat-ment of patients with cesarean scar pregnancy.
出处
《中国伤残医学》
2015年第20期13-14,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
瘢痕妊娠
米非司酮
米索前列醇
子宫动脉栓塞
Cesarean scarpregnancy
Mifepristone
Misoprostol
Uterine artery embolization
