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目的探讨不同方法治疗子宫切口瘢痕妊娠的治疗效果。方法回顾性分析本院经阴道B超确诊的子宫切口瘢痕妊娠的患者共37例,按不同治疗方法分成两组,对照组为肌内注射甲氨蝶呤(MTX)治疗+B超下清宫术共12例,实验组为双侧子宫动脉注入MTX栓塞术联合清宫术共25例。结果对照组住院治疗时间(15±0.5)d,明显多于实验组(9.8±0.3)d,β-HCG转阴率慢于对照组,差异有统计学意义(P<0.05),清宫出血量多,有大出血可能。结论双侧子宫动脉靶栓塞术联合清宫术是目前治疗子宫切口瘢痕妊娠较为安全、有效的方法。
Objective To investigate the curative effect of different methods in treating uterine incision scar pregnancy. Methods Retrospective analysis of 37 cases of uterine incision scar pregnancy confirmed by transvaginal ultrasonography in our hospital were divided into two groups according to different treatment methods. The control group was treated with methotrexate intramuscularly (MTX) A total of 12 cases, experimental group was bilateral uterine artery injection of MTX embolization combined with curettage a total of 25 cases. Results Compared with the control group, the treatment time (15 ± 0.5) d in the control group was significantly longer than that in the experimental group (9.8 ± 0.3) d, and the rate of β-HCG conversion was slower than that in the control group (P <0.05) More, there may be bleeding. Conclusion Bilateral uterine artery embolization combined with curettage is the current treatment of uterine incision scar pregnancy is a safe and effective method.