子宫动脉阻断法在瘢痕部位妊娠和前峡部妊娠的临床价值

摘要

Objective To investigate the clinical value of uterine artery occlusion in the treatment of scar pregnancy and pre -pregnancy isthmus.Methods Retrospective analysis was conducted on the clinical data of 60 cases with scar pregnancy and pre-pregnancy isthmus admitted in People’ s Hospital of Dongying City in Shandong Province from November 2011 to November 2013.Patients in observation group were treated with uterine artery occlusion , while those in control group were treated with methotrexate ( MTX) .All patients accepted laparoscopic uterine aspiration .Results The blood loss of the observation group was significantly less than that in the control group ( t=4.303,P<0.05), and the postoperative serum human chorionic gonadotropin (hCG) level dropped more significantly in the observation group (t=3.182,P<0.05).The postoperative hospital stay of the observation group was significantly shorter than that of the control group (t=2.776,P<0.05).The incidence rate of postoperative complications of the observation group was 6.7%, which was significantly lower than that of the control group (26.7%) (χ2 =14.07,P<0.05).Conclusion The effect of uterine artery occlusion in the treatment of scar pregnancy and pre-pregnancy isthmus is good with few complications .%目的：探讨子宫动脉阻断法在瘢痕部位妊娠和前峡部妊娠的应用。方法回顾性分析2011年11月至2013年11月东营市人民医院收治的60例瘢痕部位妊娠和前峡部妊娠妊娠患者的临床资料，观察组给予子宫动脉阻断法治疗，对照组采用甲氨喋呤治疗，两组患者均行腹腔镜下吸宫术。结果观察组患者的术中出血量明显比对照组少（t＝4．303，P＜0．05），术后血人绒毛膜促性腺激素（hCG）下降水平明显比对照组高（t＝3．182，P＜0．05），术后住院时间明显比对照组短（t＝2．776，P＜0．05）。观察组患者术后并发症发生率为6．7％，显著低于对照组的26．7％（χ2＝14．07，P＜0．05）。结论子宫动脉阻断法在瘢痕部位妊娠和前峡部妊娠的治疗中疗效显著，并发症少。