论文部分内容阅读
目的 :探讨联用瘢痕妊娠病灶切除术和瘢痕修补术治疗剖宫产术后瘢痕妊娠(CSP)的临床效果。方法 :对2014年11月~2015年11月期间我院收治的120例CSP患者的临床资料进行回顾性研究。我们根据治疗方法的不同将这120例患者分为A组、B组与C组,每组各有40例患者。我院对A组患者联用甲氨喋呤和米非司酮进行治疗,对B组患者联用子宫动脉栓塞术(UAE)和甲氨喋呤进行治疗,对C组患者联用瘢痕妊娠病灶切除术和瘢痕修补术进行治疗。治疗结束后,比较三组患者β-HCG(血清人绒毛膜促性腺激素)的水平恢复至正常的时间及治疗的效果。结果:治疗结束后,C组患者β-HCG的水平恢复至正常的时间明显短于A组和B组患者,其治疗的总有效率明显高于A组和B组患者,组间比较差异有统计学意义(P<0.05)。结论 :联用瘢痕病灶切除术和瘢痕修补术治疗剖宫产术后瘢痕妊娠的临床效果显著。此疗法值得在临床上推广应用。
Objective: To investigate the clinical effect of cesarean section scar pregnancy (CSP) combined with cesarean section excision and scar repair. Methods: The clinical data of 120 CSP patients admitted from November 2014 to November 2015 in our hospital were retrospectively studied. According to the different treatment methods, we divided these 120 patients into A group, B group and C group, each with 40 patients in each group. In our hospital, patients in group A were treated with methotrexate and mifepristone. Patients in group B were treated with uterine arterial embolization (UAE) and methotrexate. Patients in group C were treated with scar pregnancy Resection and scar repair for treatment. After treatment, the levels of β-HCG (serum human chorionic gonadotropin) in three groups were returned to normal time and the effect of treatment was compared. Results: At the end of treatment, the level of β-HCG returned to normal in group C was significantly shorter than that in group A and group B, and the total effective rate of treatment was significantly higher than that in group A and group B. There were significant differences among the groups Statistical significance (P <0.05). CONCLUSIONS: The combined treatment of scar resection and scar repair for scar pregnancy after cesarean section has a significant clinical effect. This therapy is worth promoting in clinical application.