子宫动脉栓塞术治疗剖宫产术后切口妊娠的临床观察

目的探讨子宫动脉栓塞术治疗剖宫产后切口妊娠的临床效果。方法剖宫产术后切口妊娠患者50例，按入院先后顺序随机分为观察组和对照组，每组25例。对照组采用MTX肌内注射后行刮宫术，观察组在子宫动脉栓塞术后行刮宫术。对两组治疗后的临床指标进行比较分析。结果观察组在出血量、住院时间、血hCG降至正常时间均少于对照组，差异有统计学意义（P〈0．05）；两组不良反应差异无统计学意义（P〉0．05）。结论子宫动脉栓塞治疗切口妊娠能降低大出血风险，保留妇女生育功能，且具有疗效确切，安全，副反应轻的优点，优于MTX肌内注射后刮宫术，可作为剖宫产术后切口妊娠治疗的首选方法。

Uterine artery embolization in the treatment for the cesarean scar pregnancy

Objective To explore the clinical effect of uterine artery embolization （UAE）in the treatment for the cesarean scar pregnancy （CSP）. Methods By order of admission,50 patients with CSP were randomly divided into observation group and control group （ n = 25 ）. Observation group was underwent curettage after UAE in the treatment and control group was underwent curettage after intramuscular injection of MTX - line. The clinical indicators after treatment were compared between the two groups. Results Control group was higher than observation group in blood loss, hospital stay, time for blood HCG to normal, the difference was statistically significant （P 〈 0.05 ）. The adverse reactions between the two groups was no significant difference （ P 〉 0.05 ）. Conclusion UAE is an effective, safe and minimally invasive method with low risk of heavy bleeding for the treatment of CSP superior to curettage after intramuscular injection of MTX and has important ehnical value.