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目的探讨口服中药杀胚消癥汤与米非司酮联合宫颈注射甲氨喋呤(MTX)保守治疗剖宫产术后瘢痕部位妊娠(CSP)的临床价值。方法回顾分析我科11例CSP患者应用上述方法保守治疗的临床资料。结果 11例患者均成功保留子宫及生育能力,一次性清宫干净,术中出血少,疗效满意。结论该方法是治疗CSP可选择的安全有效的治疗方法,可缩短疗程,减少出血,适合于基层医院推广应用。
Objective To investigate the clinical value of oral administration of Chinese medicine for killing embryo digestion and mifepristone in combination with cervical injection of methotrexate (MTX) for conservative treatment of cesarean section after pregnancy (CSP). Methods Retrospective analysis of 11 cases of CSP patients with conservative treatment of these clinical data. Results All the 11 patients successfully retained the uterus and fertility, one-time clearance of the liver, less bleeding during operation, and satisfactory outcome. Conclusion This method is a safe and effective treatment for CSP. It can shorten the course of treatment and reduce bleeding, and is suitable for the popularization and application of primary hospitals.