子宫动脉栓塞和甲氨蝶呤注射在疤痕妊娠中的疗效.docxVIP

子宫动脉栓塞和甲氨蝶呤注射在疤痕妊娠中的疗效 如皋市人民医院妇产科 钱进 【摘要】目的?讨论研究分别应用子宫动脉栓塞及甲氨蝶呤注射用于治疗疤痕妊娠的临床疗 效与影响。 方法 选取我院妇产科疤痕妊娠患者?100?例。根据随机分组原则分为?A、B?两 组，各?50?例。A?组患者使用甲氨蝶呤进行注射治疗治疗；B?组患者应用子宫动脉栓塞治疗。 比较两组患者治疗后出血量、不良反应发生率、月经恢复时间及平均住院时间等指标。结 果?治疗后各项指标恢复情况比较比较显示?B?组患者使用子宫动脉栓塞治疗其术后各项指标 恢复均优于?A?组患者（P＜0.05）。 结论??临床应用子宫动脉栓塞与甲氨蝶呤注射对疤痕妊娠均有显著疗效，能够有效将子宫 动脉进行栓塞，有效减少子宫出血量并使胚胎由于缺血及缺氧坏死，达到杀死胚胎的作用。 能够显著提高疾病治愈率且术后恢复时间短，治疗安全系数高且并发症发病率低，可显著 改善患者生存质量。 【关键词】子宫动脉栓塞；甲氨蝶呤注射；疤痕妊娠；临床疗效与影响 Curative?Effects?of?Uterine?Arterial?Embolization?and?Methotrexate?Injection?in?Treatment?of?Scar Pregnancy [Abstract]?Objective:To?discuss?the?Curative?effects?of?uterine?arterial?embolization?and methotrexate?injection?in?treatment?of?scar?pregnancy.Method:100?cases?of?scar?pregnancy?in our?hospital?were?divided?into?A,?B?two?groups?randomly?,?50?cases?in?each.Group?A?received methotrexate?injection?treatment;?group?B?patients?with?uterine?artery?embolization.The amount?of?bleeding,?the?incidence?of?adverse?reactions,?menstrual?recovery?time?and hospitalization?time?were?compared?between?the?two?groups?after?treatment.Result:Comparison shows?that?the?indexes?of?postoperative?recovery?in?B?group?were?better?than?group?A?(P? 0.05).Conclusion:Clinical?application?of?uterine?artery?embolization?and?methotrexate?injection had?significant?effect?on?the?scar?pregnancy?respectively.Both?can?uterine?arterial?embolization effectively.Reduce?the?uterine?bleeding?amount.And?could?help?kill?the?embryo?due?to?ischemia and?hypoxia.Can?improve?the?cure?rate?and?shorten?postoperative?recovery?time significantly.Uterine?arterial?embolization?and?methotrexate?injection?in?treatment?of?scar pregnancy?can?improve?the?quality?of?life?in?patients?significantly?with?the?advantages?like?high safety?coefficient?and?low?incidence?rate?of?complications. [Keywords]:Uterine?Arterial?Embolization;Methotrexate?Injection;Scar?Pregnancy;Curative?Effects 疤痕妊娠是指妊娠囊着床于子宫疤痕处，为剖宫产术后发病率较低的并发症，属异位妊娠 范畴[1]。有研究报道指出，疤痕妊娠其发病率约为?0.045%，在异位妊娠合并剖宫产病史的 概率约为?6.1%。患者患病后主要表现以停经后阴道出血为主