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目的:分析剖宫产手术以后子宫疤痕妊娠的临床特点,探讨具体诊断治疗方案和临床效果。方法:对于本院自2010年6月～20113年5月住院治疗的子宫疤痕妊娠患者共18例,在给予甲氨蝶呤肌肉注射和米非司酮药物口服,对于部分失败患者,行双侧子宫动脉选择性插管,再用明胶海绵行栓塞治疗。然后详细记录和观察患者的HCG水平和住院天数。结果:经过有效治疗,全部的患者经过保守治疗以后健康出院。患者治疗的时间为7天～35天之间,平均的住院天数为21天,在患者治疗期间,通过对肝功能、肾功能及血常规等监控,患者均未发现有异常现象。结论:对于剖宫产后子宫疤痕妊娠患者,给予甲氨蝶吟与米非司酮联合治疗的保守治疗方法,有着安全高效的优点,值得临床推广。
Objective: To analyze the clinical features of uterine scar pregnancy after cesarean section operation and discuss the specific diagnosis and treatment plan and clinical effect. Methods: A total of 18 patients with uterine scar pregnancy hospitalized in our hospital from June 2010 to May 20113 were enrolled in this study. Methotrexate was given intramuscularly and mifepristone was given orally. For some patients, both sides Uterine artery selective intubation, gelatin sponge embolization treatment. The patient’s HCG level and length of stay were then recorded and observed in detail. Results: After effective treatment, all patients were discharged after conservative treatment. Patients treated for 7 days to 35 days, the average number of days of hospitalization was 21 days, during the treatment of patients, through the monitoring of liver function, renal function and blood and other patients did not find any abnormalities. Conclusion: For cesarean section patients with uterine scar pregnancy, the combination of methotrexate and mifepristone conservative treatment has the advantages of safe and efficient, worthy of clinical promotion.