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目的观察孕囊型子宫瘢痕妊娠采用药物杀胚后行清宫术治疗的临床效果。方法选取医院孕囊型子宫瘢痕妊娠患者86例为研究对象,随机分为对照组和观察组,每组43例。对照组采用药物保守治疗,观察组采用药物杀胚后行清宫术治疗。观察2组患者治疗成功率、β-h CG转阴时间、阴道出血量及不良反应发生情况。结果观察组治疗成功率高于对照组,观察组阴道出血量少于对照组,观察组β-h CG转阴时间短于对照组(P<0.01或P<0.05)。2组不良反应发生率比较差异无统计学意义(P>0.05)。结论采用药物杀胚后行清宫术治疗孕囊型子宫瘢痕妊娠,临床效果显著,安全性好,值得临床推广应用。
Objective To observe the clinical effect of curettage of gestational sac-type uterine pregnancy after curettage by curettage. Methods Totally 86 cases of pregnancy gestational sac-pregnancy were randomly divided into control group and observation group, with 43 cases in each group. The control group was treated with conservative drugs. The observation group was treated with curettage and curettage in the observation group. The success rate of treatment, β-h CG negative time, vaginal bleeding and adverse reactions were observed in two groups. Results The success rate of treatment in observation group was higher than that of control group. Vaginal bleeding volume in observation group was less than that in control group. The β-h CG transit time in observation group was shorter than that in control group (P <0.01 or P <0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P> 0.05). Conclusions The cure of gestational sac-type uterine scar pregnancy after drug killing embryo is performed, the clinical effect is remarkable, the safety is good, and it is worth to be popularized.