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目的分析和探讨影响宫腔镜联合子宫动脉栓塞术治疗子宫瘢痕妊娠疗效的因素。方法对2013年1月—2014年6月郑州人民医院收治的宫腔镜联合子宫动脉栓塞术治疗子宫瘢痕妊娠患者100例,采用回顾性分析的方法,分析术后疗效的影响因素。结果腔镜联合子宫动脉栓塞术治疗子宫瘢痕妊娠的成功率为88.0%(88/100),失败率为12.0%(12/100),且发现胎囊直径大、血β-HCG高、孕周长以及外生型CSP是影响患者术后疗效的主要因素,P<0.05,差异有统计学意义。结论早期认识影响宫腔镜联合子宫动脉栓塞术治疗子宫瘢痕妊娠疗效的因素,并采取积极、有效的治疗,可以提高术后疗效,改善预后。
Objective To analyze and discuss the factors influencing the efficacy of hysteroscopy combined with uterine artery embolization in the treatment of uterine scar pregnancy. Methods From January 2013 to June 2014, 100 cases of uterine scar pregnancy treated by hysteroscopy combined with uterine arterial embolization in Zhengzhou People’s Hospital were enrolled. Retrospective analysis was used to analyze the influencing factors of postoperative efficacy. Results The success rate of endoscopic uterine artery embolization in the treatment of uterine scar pregnancy was 88.0% (88/100) and the failure rate was 12.0% (12/100). The diameter of fetal sac, blood β-HCG, gestational age Long and exogenous CSP is the main factor affecting the efficacy of postoperative patients, P <0.05, the difference was statistically significant. Conclusion Early recognition of hysteroscopy combined with uterine artery embolization in the treatment of uterine scar pregnancy efficacy factors, and take active and effective treatment, can improve postoperative efficacy and improve prognosis.