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目的:探讨分析剖宫产术后切口妊娠的诊断与治疗方法,丰富临床诊治经验。方法:选择我院妇产科于2009年9月~2013年1月收治的子宫切口妊娠患者46例。根据患者的治疗意愿进行分组,其中研究组通过行子宫动脉介入栓塞并且同期行清宫治疗,共22例;对照组采取氨甲喋呤局部注射后,再清宫治疗,共24例。结果:研究组治疗有效率高于对照组,差异有统计学意义(P<0.05)。研究组血β-HCG恢复时间、妊娠包块消失时间短于对照组(P<0.05),术中出血量少于对照组(P<0.05)。结论:子宫切口妊娠患者通过行子宫动脉介入栓塞联合同期清宫治疗临床疗效佳,且能促进预后时间,取得较为满意的临床效果,值得进一步推广。
Objective: To analyze and analyze the diagnosis and treatment of incisional pregnancy after cesarean section, and enrich the clinical diagnosis and treatment experience. Methods: 46 cases of uterine incision pregnancy admitted to our hospital from September 2009 to January 2013 were selected. According to the patients’ willingness to treat, the study group consisted of 22 patients who underwent uterine artery interventional embolization and curettage over the same period. The control group was treated with local injection of methotrexate followed by Qing-Qing treatment, a total of 24 cases. Results: The effective rate of study group was higher than that of control group, the difference was statistically significant (P <0.05). The recovery time of blood β-HCG and disappearance of pregnancy mass in the study group were shorter than those in the control group (P <0.05). The blood loss in the study group was less than that in the control group (P <0.05). Conclusion: The uterine incision pregnancy patients through the line of uterine artery embolization combined with the same period of Qing treatment of clinical efficacy, and can promote the prognosis of time, and achieved more satisfactory clinical results, it is worth further promotion.