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目的探讨子宫动脉栓塞后清宫术治疗剖宫产术后子宫瘢痕妊娠的价值。方法选取剖宫产术后子宫瘢痕妊娠(早期妊娠)患者21例,子宫动脉栓塞成功后1~3d行清宫术(其中16例在腹腔镜下清宫),回顾性分析患者的临床资料。结果 21例患者清宫过程顺利,术中出血<100ml,清宫术后无阴道大出血患者,无宫内残留。21例均保留子宫,术后1~2个月月经复潮。结论采用子宫动脉栓塞后再予清宫术治疗子宫瘢痕妊娠安全、有效。
Objective To investigate the value of curettage after uterine artery embolization in treating uterine scar pregnancy after cesarean section. Methods 21 cases of uterine scar pregnancy (early pregnancy) after cesarean section were selected, and the curettage was performed 1 ~ 3 days after uterine arterial embolization (including 16 cases under laparoscopy). The clinical data of the patients were retrospectively analyzed. Results 21 patients with the process of clearing the palace smoothly, intraoperative bleeding <100ml, no postoperative vaginal bleeding patients, no intrauterine residue. 21 cases were retained uterus, 1 to 2 months after menstruation tide. Conclusions Uterine artery embolization followed by curettage of uterine scar pregnancy is safe and effective.