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目的:对剖宫产术后子宫瘢痕处妊娠通过不同方法进行治疗,探讨与分析临床治疗效果。方法:从我院在2010年7月到2013年7月期间诊治的子宫瘢痕处妊娠患者中抽取80例进行回顾性分析,依照随机对照的方式分成甲组和乙组两组组,每组40例。利用甲氨蝶呤+清宫术全身治疗甲组,单纯运用刮宫术治疗乙组,对两组的临床疗效进行观察与对比。结果:经相应治疗,在血清β-HCG恢复时间上,甲组要明显比乙组高(P<0.05);在住院以及子宫内包块消失等时间上,甲组要明显比乙组短(P<0.05);在治愈率上,甲组为87.5%(35/40),乙组为65%(26/40),两组差异显著(P<0.05)。结论:要通过个体化的治疗方案来治疗剖宫产术后子宫瘢痕处妊娠,其中较为安全和有效以及与各类型子宫瘢痕处妊娠均适合的方式为甲氨喋冷+清宫术。
OBJECTIVE: To treat pregnancy of uterine scar after cesarean section by different methods and to explore and analyze the clinical effect. Methods: 80 pregnant women with uterine scar diagnosed and treated in our hospital from July 2010 to July 2013 were retrospectively analyzed. According to the way of randomized control, 80 cases were divided into two groups, group A and group B, 40 example. Methotrexate + curettage system group A treatment, simple curettage group B treatment, the clinical efficacy of the two groups were observed and compared. Results: After corresponding treatment, serum β-HCG recovery time was significantly higher in group A than in group B (P <0.05); in the time of hospitalization and disappearance of uterine mass, group A was significantly shorter than group B <0.05). The cure rate was 87.5% (35/40) in group A and 65% (26/40) in group B, with significant difference between the two groups (P <0.05). CONCLUSIONS: Pregnancy at the uterine scar after cesarean delivery is to be treated by an individualized regimen. Among them, safer and more effective, and suitable for pregnancy with various types of uterine scar, is methotrexate plus curettage.