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目的 :探讨子宫动脉栓塞(UAE)联合宫腔镜手术治疗剖宫产切口瘢痕妊娠(CSP)内生型的临床效果。方法 :选取本院妇产科2011年1月~2014年2月手术治疗的82例CSP患者进行回顾性分析,其中42例患者采用UAE+宫腔镜检查+刮宫术联合手术治疗(观察组)、40例患者采用UAE+刮宫术治疗(对照组)。结果 :观察组的手术出血量、住院时间、术后阴道出血量、阴道出血时间、血β-HCG恢复时间显著的低于对照组患者,观察组的手术时间、术后月经恢复时间、术后1个月复查妊娠物残留率以及患者术后Ⅲ级疼痛程度发生率与对照组比较差异无统计学意义。结论 :UAE+宫腔镜检查+刮宫术联合手术治疗内生型瘢痕妊娠患者安全有效。
Objective: To investigate the clinical effect of uterine arterial embolization (UAE) combined with hysteroscopic surgery for cesarean section scar pregnancy (CSP) endogenous. Methods: A retrospective analysis was performed on 82 CSP patients undergoing surgical treatment from January 2011 to February 2014 in our hospital. 42 patients underwent UAE + hysteroscopy combined with curettage and surgery (observation group) Forty patients were treated with UAE + curettage (control group). Results: The amount of operation bleeding, length of hospital stay, postoperative vaginal bleeding, vaginal bleeding time, blood β-HCG recovery time were significantly lower in the observation group than in the control group, the operation time of the observation group, postoperative menstrual recovery time, postoperative There was no significant difference in the residual rate of pregnancy and grade Ⅲ grade pain after 1 month of follow-up in the control group. Conclusion: UAE + hysteroscopy + curettage combined with surgical treatment of patients with endocrine scar pregnancy is safe and effective.