目的：研究和分析采用子宫动脉化疗栓塞治疗剖宫术后子宫瘢痕妊娠的临床效果。方法随机选择130例该院剖宫产术后子宫瘢痕妊娠患者作为研究对象随机把其分为观察组和对照组，对照组患者只借助B超引导进行清宫术治疗，而观察组则采用在双侧子宫动脉，介入化疗栓塞术结合清宫共同治疗，经过3个月随访，将两组患者的治疗效果进行对比。结果经过对患者3个月的随访观察，观察组中患者子宫内包块消失时间以及血清p-HGG值恢复正常的时间分别为（15.2±5.1）d、（26.2±8.5）d，都明显短于对照组，该两组患者的子宫内包块消失时间以及血清p-HGG值恢复正常的时间对比，差异有统计学意义，（P<0.05），其差异存在统计学意义；经过治疗以后，观察组总有效率为100%，明显高于对照组（72.6%）,该两组患者的总有效率对比，差异有统计学意义（P<0.05）。结论利用双侧子宫动脉介入化疗栓塞术，来治疗剖宫产术后子宫瘢痕妊娠疗效明显，有较大的应用推广价值。%Objective To study the clinical effect of uterine arterial chemoembolization in the treatment of uterine scar pregnancy after cesarean section. Methods 130 patients with uterine scar after cesarean section in our hospital were selected as the research object and randomized into observation group in which bilateral uterine arterial chemoembolization combined with uterine curettage was performed and control group in which B ultrasound-guided uterine curettage was done. The clinical effects were compared be-tween the two groups after 3 months follow-up. Results 3 months follow-up showed that masses disappear time and serum p-HGG recovery time were (15.2±5.1)d and (26.2±8.5)d in the observation group, significantly less than those in the control group with statistical differences, P﹤0.05; after treatment, the overall effective rate was higher in the observation group than in the control group with statistically significant differences (100%vs 72.6%, P﹤0.05). Conclusion Bilateral uterine arterial chemoembolization is worthy of promotion in the treatment of uterine scar pregnancy after cesarean section.
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