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目的:对比分析应用双侧子宫动脉栓塞合并吸-刮宫术与单用吸-刮宫术在剖宫产瘢痕妊娠治疗中的效果。方法:回顾性分析唐山市妇幼保健院临床确诊的82例剖宫产术后瘢痕妊娠患者,其中44例患者行双侧子宫动脉栓塞合并吸-刮宫术治疗(试验组),38例单用吸-刮宫术治疗(对照组),且两组均予以口服米非司酮50 mg。测定术后出血量、血β-HCG下降正常的时间、B超检查包块情况并进行比较。结果:试验组有效率为93.18%,对照组有效率为76.32%。与对照组相比,试验组术后出血量少,血β-HCG下降至正常及B超检查未见包块所需时间短,差异有显著性(P<0.01)。结论:双侧子宫动脉栓塞合并吸-刮宫术在剖宫产瘢痕妊娠治疗中疗效更显著,且副作用小。
OBJECTIVE: To compare and analyze the effect of bilateral uterine artery embolization combined with suction-curettage and single-use curettage in the treatment of cesarean scar pregnancy. Methods: Eighty-two patients with scar pregnancy after cesarean section were retrospectively analyzed. Forty-four patients underwent bilateral uterine artery embolization combined with suction-curettage (experimental group), and 38 were treated with suction alone - curettage (control group), and both groups were given oral mifepristone 50 mg. Determination of postoperative bleeding, blood β-HCG decreased normal time, B ultrasound examination of the mass and compare. Results: The effective rate was 93.18% in the test group and 76.32% in the control group. Compared with the control group, the experimental group less postoperative bleeding, blood β-HCG decreased to normal and B ultrasound examination without the required time is short, the difference was significant (P <0.01). Conclusion: Bilateral uterine artery embolization combined with suction-curettage in cesarean scar pregnancy treatment more significant effect, and the side effects.