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目的:分析和研究剖宫产瘢痕妊娠局部注射氨甲蝶呤(MTX)的疗效。方法:我们选取2011年9月-2013年6月剖宫产瘢痕妊娠患者31例,采用局部注射氨甲蝶呤方法进行治疗,将其治疗结果进行回顾性的分析与总结。结果:31例患者治疗成功29例,治疗成功率为93.5%;HCG降至正常时间为27.4±3.6天。结论:将甲氨喋呤局部注射方法应用于瘢痕子宫妊娠患者治疗中,其具有操作简单、安全性高、包块消失快等优点,能够有效预防阴道大出血,对提高患者生活质量及保守治疗的成功率均有重要意义。
Objective: To analyze and study the curative effect of local injection of methotrexate (MTX) in cesarean scar pregnancy. METHODS: Totally 31 patients with cesarean scar pregnancy from September 2011 to June 2013 were selected and treated by local injection of methotrexate. The treatment results were retrospectively analyzed and summarized. Results: Twenty-one patients were successfully treated in 29 cases, with a success rate of 93.5%. HCG decreased to normal ranged from 27.4 ± 3.6 days. Conclusion: The local injection of methotrexate in the treatment of patients with uterine scar pregnancy, which has the advantages of simple operation, high safety, fast disappearance of mass, etc., can effectively prevent vaginal bleeding, to improve patient quality of life and conservative treatment The success rate is of great significance.