子宫动脉栓塞术联合甲氨蝶呤治疗剖宫产术后子宫瘢痕妊娠的效果及对β-绒毛膜促性腺激素水平的影响

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Abstract Objective To explore the therapeutic value of uterine artery embolization(UAE)combined with Methotrexate on cesarean scar pregnancy(CSP)and the effect on the level human of β-chorionic gonadotropin(β-hCG).Methods A total of 122 cases CSP patients admitted to the the First People′s Hospital of Yinchuanfron January 2018 to April 2020 were selected as the research objects,they were classified into the combined group and the drug group according to the random number table method,each group had 61 cases,the drug group was treated with Methotrexate,combined group UAE combined with Methotrexate treatment.β-hCG level,operative indexes and complications of the two groups were observed.Results Before treatment,the β-hCG levels of the two groups of patients were not statistically different(P＞0.05);after treatment,the β-hCG levels of the two groups of patients were lower than those before treatment,and the β-hCG levels of the combination group were low than those in the drug group,the differences were statistically significant(P＜0.05).The operation time and hospital stay of the combined group were shorter than those of the drug group,and the intraoperative blood loss was less than that of the drug group，the differences were statistically significant(P＜0.05).The total incidence of complications in the combined group was lower than that in the drug group,the difference was statistically significant(P＜0.05).Conclusion UAE combined with methotrexate has a clear effect on CSP.It can shorten the operation time,hospital stay,reduce intraoperative blood loss,and reduce the level of gonadal hormones,with fewer complications,and is clinically safe and feasible.

Key words： Uterine artery embolization Methotrexate Uterine scar pregnancy &beta -chorionic gonadotropin

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	XI Yan-dong
	BAI Hong

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XI Yan-dong,BAI Hong. Effect of uterine artery embolization combined with Methotrexate in the treatment of cesarean scar pregnancy on the level of β-chorionic gonadotropin[J]. 中国当代医药, 2021, 28(17): 115-117转121.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I17/115

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