目的：探讨并比较经阴道子宫下段切开(TREPT)取胚与子宫动脉栓塞术(UACE)治疗剖宫产瘢痕妊娠的临床疗效。方法采用随机数字表法将2011年7月—2013年7月剖85例宫产瘢痕妊娠患者进行分组,TREPT组42例以经阴道子宫下段切开取胚术合并子宫修复术治疗,UACE组43例施以子宫动脉栓塞术合并清宫术。比较患者的术中出血量、平均住院时间以及HCG恢复至正常水平的时间。结果 TREPT组术中出血量(31.42±8.29)mL、平均住院时间(7.12±1.13)d分别低于UACE组(54.33±9.12)mL、(10.21±1.15)d,P﹤0.05；TREPT组hCG恢复至正常时间(25.22±4.35)d与UACE组(24.63±4.33)d比较,P﹤0.05。结论在剖宫产瘢痕妊娠的治疗中,经阴道子宫下段切开取胚术合并子宫修复术是一种创伤小、安全、有效的方法,值得推广。%Objective To evaluate and compare the transvaginal uterine segment incision (TREPT) embryo and uterine artery embolization (UACE) the clinical efficacy of the treatment of cesarean scar pregnancy. Methods A random number table in July 2011 - July 2013 sectional 85 cases cesarean scar pregnancy were grouped, TREPT 42 patients with vaginal hysterectomy by lower segment incision surgery with uterine embryo repair treatment, UACE group 43 cases of uterine artery embolization combined impose curettage. Comparison of patients with blood loss, the average hospital stay and return to normal levels of hCG time. Results TREPT group blood loss was (31.42±8.29)mL, average length of stay (7.12 ± 1.13)d, respectively, lower than UACE group (54.33 ±9.12)mL, (10.21 ±1.15)d, P<0.05; TREPT group hCG return to normal time (25.22 ± 4.35)d and UACE group (24.63±4.33) compare d, P>0.05. Conclusion In the treatment of cesarean scar pregnan-cy, transvaginal uterine lower segment incision surgery with uterine embryo repair is a minimally invasive, safe and effective method, it is worth promoting.
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