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目的探讨剖宫产术后切口妊娠药物保守治疗和手术治疗的疗效。方法选取2011年9月至2013年6月剖宫产术后切口妊娠患者31例作为对照组,采用局部注射氨甲蝶呤方法进行治疗,并选取同期32例剖宫产术后切口妊娠患者作为试验组,接受子宫动脉栓塞+妊娠病灶切除+子宫瘢痕修补术治疗。将两组的治疗结果进行回顾性的分析与总结。结果试验组患者治疗成功29例,成功率为90.6%;人绒毛膜促性腺激素(HCG)降至正常时间为(25.4±2.6)d,月经复潮时间为(35±6)d。对照组患者治疗成功15例,成功率为48.4%;HCG降至正常时间为(34.4±3.9)d。月经复潮时间为(43±6)d。各项指标对比,差异有统计学意义(P<0.05)。结论虽然将甲氨喋呤局部注射方法应用于剖宫产术后切口妊娠患者治疗中具有一定疗效,但临床对其进行处理时根据患者情况采取适当的手术方法治疗,更有利于提高治疗成功率,改善患者情况。
Objective To investigate the curative effect of conservative treatment and surgical treatment of incisional pregnancy after cesarean section. Methods Seventy patients with incisional pregnancy after cesarean section were selected as control group from September 2011 to June 2013. The patients were treated with local injection of methotrexate and selected 32 pregnant women with cesarean section incision during the same period as the control group Test group, uterine artery embolization + removal of pregnancy lesions + uterine scar repair treatment. The two groups of treatment results were retrospectively analyzed and summarized. Results In the trial group, 29 cases were successfully treated with a success rate of 90.6%. HCG decreased to normal (25.4 ± 2.6) d, and menstrual period increased to (35 ± 6) d. Control group of patients treated successfully in 15 cases, the success rate was 48.4%; HCG reduced to normal (34.4 ± 3.9) d. Menstrual resurgence time was (43 ± 6) d. The indicators of contrast, the difference was statistically significant (P <0.05). Conclusion Although methotrexate local injection method applied to the treatment of incisional pregnancy after cesarean section has some effect, but its clinical treatment of patients under the appropriate surgical treatment, is more conducive to improving the success rate of treatment , Improve the patient’s condition.