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目的探讨剖宫产切口妊娠采用阴道B超引导下抽吸减胎术联合局部甲氨蝶呤(MTX)注射术治疗剖宫产切口妊娠的效果。方法 48例子宫下段剖宫产后切口妊娠患者,采用阴道B超引导下抽吸减胎术联合局部MTX注射术方法进行治疗,设为观察组;同时期切口妊娠患者30例,采取子宫动脉栓塞联合腹部B超引导下清宫术进行治疗,设为对照组,对两组患者治疗情况进行对比分析。结果观察组治疗患者在手术时间、手术次数以及术中出血量上显著优于对照组,术后疼痛轻、并发症少,对比差异有统计学意义(P<0.05)。结论在切口妊娠治疗过程中,阴道B超引导下抽吸减胎术联合局部MTX注射术治疗具有较好的疗效、临床并发症少、住院时间短,值得在临床上进行推广和应用。
Objective To investigate the effect of vaginal B-guided aspiration-abortion surgery combined with local methotrexate (MTX) in the treatment of cesarean section incision pregnancy in cesarean section incision pregnancy. Methods 48 cases of uterine segment lower uterine incision pregnancy after cesarean section were treated by vaginal B-guided aspiration abortion combined with local MTX injection method for the treatment group, as the observation group; the same period of 30 cases of pregnant women, uterine artery embolization Combined abdominal B-guided curettage cure, as the control group, the two groups of patients treated for comparative analysis. Results The observation group was significantly better than the control group in operation time, operation frequency and intraoperative blood loss, postoperative pain was light, the complications were less, the difference was statistically significant (P <0.05). Conclusion During the treatment of incisional pregnancy, vaginal B-guided aspiration-abortion combined with local MTX injection has good curative effect, less clinical complications and shorter hospital stay, which is worth to be popularized and applied clinically.