摘要
Abstract
Objective By performing uterine artery embolization in treating cesarean scar pregnancy, to observe hemodynamic changes of pregnancy tissue material before and after uterine artery embolization in different types of uterine scar pregnancy, and to explore the effects of uterine artery embolization in treating cesarean scar pregnancy. Methods 124 patients with cesarean scar pregnancy were divided into typeⅠ, typeⅡ and type Ⅲ by B ultrasound imaging, which were selected from January 2007 to December 2015 in the Maternal and Child Health Hospital of Foshan City in this study. Patients in TypeⅠ, typeⅡ and type Ⅲ were corresponding to group A(38 cases), B(46 cases), C(40 cases), respectively. All patients underwent curettage treatment at 72h after bilateral uterine artery embolization. The clinical results of the three groups were compared, including efficiency of therapy, decreasing of blood β-HCG and flow resistance index in pregnancy tissue material.Results(1)The effective rate of the group A, B, C were 95.00%, 95.83% and 100.00% individually, there were no significant differences among the three groups(P>0.05). The total effective rate was 96.88%. (2)The mean time of flow resistance index decreased by 50% were (42.65±13.17) h in group A, (56.31±16.25) h in group B, and (29.72±9.26) h in group C. There were statistically significant differences(P<0.05) among each group. (3) The mean time of blood β-HCG decreased by 50% were (5.37±1.52) d in group A, (5.84±1.21) d in group B and (3.52±1.02) d in group C. There was no significant difference(P>0.05) between group A and group B. There were significant differences between group A and group C and between group B and group C(P<0.05).ConclusionUterine artery embolization has good effect in all kinds of cesarean scar pregnancy. However, further research is needed to determine the individual implementation plan for the treatment.关键词
子宫动脉栓塞/子宫瘢痕妊娠/超声诊断/治疗Key words
Uterine artery embolization/Cesarean scar pregnancy/Ultrasonic diagnosis/Treatment分类
医药卫生
