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目的:探究子宫动脉灌注栓塞联合清宫术治疗子宫剖宫产瘢痕妊娠的临床疗效。方法:选取本院自2007年3月至2015年4月间在本院进行治疗的子宫剖宫产瘢痕妊娠患者62例作为本次研究的观察对象,按照时间的先后将本组患者分为实验组和对照组,每组各25例,对照组的来源于2007年3月至2011年3月,本组患者采用传统子宫切除术,实验组患者则来源于2011年4月至2015年4月,采用子宫动脉灌注栓塞联合清宫术治疗,对比观察两组患者的手术时间、出血量、住院时间。结果:结果显示,实验组患者的手术时间、住院时间均较对照组短,且实验组患者术中出血量明显少于对照组,比较差异具有显著性,(P<0.05)具有统计学意义。结论:研究表明,子宫动脉灌注栓塞联合清宫术治疗的临床疗效较为显著,不仅能够减少术中出血量,缩短手术时间和住院时间,还能提高患者的保宫率。
Objective: To investigate the clinical efficacy of uterine artery embolization combined with curettage in the treatment of uterine cesarean scar pregnancy. Methods: Totally 62 cases of cesarean scar pregnancy treated in our hospital from March 2007 to April 2015 were selected as the observation object of this study. The patients were divided into experimental group Group and control group, 25 cases in each group, the control group comes from March 2007 to March 2011, the group of patients with conventional hysterectomy, the experimental group patients were from April 2011 to April 2015 , Uterine artery embolization combined with curettage, compared the two groups of patients operating time, blood loss, length of stay. Results: The results showed that the operation time and hospital stay of the experimental group were shorter than that of the control group, and the bleeding volume of the experimental group was significantly less than that of the control group. The difference was significant (P <0.05) with statistical significance. Conclusion: The study shows that the clinical effect of uterine arterial infusion embolization combined with curettage is more significant, not only can reduce the amount of bleeding during operation, shorten the operation time and hospital stay, but also improve the patient’s rate of keeping the palace.