子宫动脉栓塞联合化疗在保守性治疗剖宫产瘢痕妊娠的疗效分析

发布时间：2019-06-18 17:02

【摘要】：目的:对比分析子宫动脉栓塞(UAE)联合化疗和单纯化疗在保守性治疗剖宫产瘢痕妊娠(CSP)的效果及相关影响因素。方法:选取2003年1月~2014年12月在中山大学附属第一医院确诊CSP且拒绝手术治疗的60例患者,其中22例行单纯MTX化疗,38例行UAE联合化疗。结果:单纯MTX化疗组中6例(27.3%)失败,化疗失败者的治疗前血β-HCG平高于化疗成功者(P=0.001)。UAE联合化疗组中2例(5.3%)治疗失败,住院时间、β-HCG转阴、正常月经恢复时间均较单纯MTX化疗组显著缩短(P0.001),术后血β-HCG转阴及正常月经恢复与治疗前血β-HCG、孕周、妊娠囊大小等因素无相关性。结论:UAE联合化疗较单纯MTX化疗更有效,术后康复较快,且不受患者个体因素的影响。而治疗前高β-HCG是导致单纯MTX化疗失败的相关因素。
[Abstract]:Objective: to compare and analyze the effect and related factors of uterine artery embolism (UAE) combined with chemotherapy and chemotherapy alone in conservative treatment of (CSP) in cesarean section scar pregnancy. Methods: from January 2003 to December 2014, 60 patients with CSP diagnosed in the first affiliated Hospital of Sun Yat-sen University were selected, including 22 patients with MTX chemotherapy and 38 patients with UAE combined chemotherapy. Results: in the simple MTX chemotherapy group, 6 cases (27.3%) failed. The blood 尾-HCG level in the chemotherapy failure group was higher than that in the chemotherapy successful group (P 鈮，

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