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目的研究应用甲氨蝶呤辅助宫腔镜电切术治疗剖宫产疤痕妊娠的作用。方法本研究选择本院2015年6月~2017年6月期间接诊的40例剖宫产妊娠患者,根据治疗方案的不同分为实验组与对照组,对照组实施宫腔镜电切术加球囊压迫治疗,实验组在此基础上应用甲氨蝶呤辅助治疗,比较两组患者术中出血量、血清β-HCG恢复时间以及月经恢复时间。结果治疗后,实验组患者的术中出血量、血清β-HCG恢复时间以及月经恢复时间等指标较对照组明显更优,比较差异有统计学意义(P<0.05)。结论甲氨蝶呤辅助宫腔镜电切术治疗剖宫产疤痕妊娠效果明显,能有效降低术中出血量,有利于血清β-HCG恢复,促进患者尽快康复。
Objective To study the effect of methotrexate-assisted hysteroscopic electrotomy for cesarean scar pregnancy. Methods In this study, 40 cases of cesarean pregnancy patients admitted during June 2015 to June 2017 in our hospital were divided into experimental group and control group according to the different treatment options. The control group was treated with hysteroscopic electrotomy Balloon compression therapy, the experimental group on this basis, the application of methotrexate adjuvant therapy, the amount of blood loss in patients with surgery, serum β-HCG recovery time and menstrual recovery time. Results After treatment, the intraoperative blood loss, serum β-HCG recovery time and menstruation recovery time in the experimental group were significantly better than those in the control group. The difference was statistically significant (P <0.05). Conclusion Methotrexate-assisted hysteroscopic resection of cesarean scar pregnancy marked effect, can effectively reduce the amount of bleeding, is conducive to the recovery of serum β-HCG, and promote recovery of patients as soon as possible.