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目的观察子宫动脉栓塞术治疗剖宫产后瘢痕妊娠(CSP)的临床疗效。方法 35例CSP患者根据治疗方法分为观察组和对照组,对照组采用药物联合清宫术治疗,观察组采用子宫动脉栓塞术后联合清宫术治疗。结果观察组临床疗效有效率为100.0%,对照组为58.8%。观察组清宫术中出血量、β-hCG值降至正常所需时间和住院时间均显著低于对照组。观察组行子宫动脉栓塞术后有8例患者出现发热症状,5例患者出现右大腿酸痛,经对症处理2~5d后症状消失,无严重并发症发生。结论子宫动脉栓塞术治疗CSP是安全、有效的治疗方法。
Objective To observe the clinical efficacy of uterine arterial embolization in the treatment of post-cesarean scar pregnancy (CSP). Methods 35 cases of CSP patients were divided into observation group and control group according to the treatment method. The control group was treated with drugs combined with curettage. The observation group was treated with uterine artery embolization combined with curettage. Results The clinical efficacy of observation group was 100.0%, while that of control group was 58.8%. The amount of bleeding, the time required for β-hCG and the length of hospital stay in observation group were significantly lower than those in control group. In the observation group, fever occurred in 8 patients after uterine arterial embolization. In 5 patients, right thigh pain occurred. Symptoms disappeared after 2 to 5 days of symptomatic treatment without serious complications. Conclusion Uterine artery embolization is a safe and effective treatment for CSP.