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目的:探讨宫颈妊娠3种保守法治疗方案的优缺点。方法:将30例保留生育功能的宫颈妊娠患者分为3组,A组(6例)采用甲氨蝶呤(MTX)肌注,B组(6例)直接行宫颈骚刮,C组(18例)采用选择性子宫动脉栓塞术(UAE)治疗后搔刮。结果:A组血β-HCG下降速度明显慢于B组及C组(P<0.000 1);A组的住院时间为明显长于B组和C组(P<0.000 1);A组住院费用明显高于B组(P=0.003 9),与C组相比,无统计学差异(P=0.708 2)。治疗过程中,A组有严重的阴道流血的次数为8次,B组和C组无严重出血(P<0.000 1)。结论:单纯MTX治疗宫颈妊娠疗效不肯定,血β-HCG下降缓慢,住院时间长,疗程中易反复阴道出血;对于绒毛活性强的宫颈妊娠首选UAE后搔刮治疗;宫颈妊娠应个体化治疗。
Objective: To investigate the advantages and disadvantages of three conservative treatment regimens of cervical pregnancy. Methods: Thirty cases of cervical pregnancy with reproductive function were divided into three groups: group A (6 cases) received intramuscular injection of methotrexate (MTX), group B (6 cases) Example) Sclerosis after treatment with selective uterine artery embolization (UAE). Results: The decline of β-HCG in group A was slower than that in group B and C (P <0.000 1). The hospitalization time in group A was significantly longer than that in group B and C (P <0.000 1) Higher than that in group B (P = 0.003 9). There was no significant difference compared with group C (P = 0.708 2). During treatment, there were 8 severe vaginal bleeding episodes in group A and no severe bleeding in groups B and C (P <0.000 1). Conclusions: The curative effect of simple MTX for cervical pregnancy is not sure, the blood β-HCG decreased slowly, hospitalized for a long time, repeated vaginal bleeding during the course of treatment; for uterine cervix pregnancy with strong villus activity, the first scraping treatment after UAE; cervical pregnancy should be individualized treatment.