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目的:探讨剖宫产术后子宫切口部位妊娠保守治疗的临床效果。方法:选取于本院诊治的剖宫产术后子宫切口部位妊娠患者80例并随机等分为观察组和对照组。对照组给予甲氨蝶吟治疗,观察组在对照组的基础上给予米非司酮治疗。统计两组患者的临床治疗效果,阴道出血停止时间、包块消失时间以及出院时间。结果:观察组临床治疗总有效率显著高于对照组(P<0.05);阴道出血停止时间、包块消失时间以及出院时间明显短于对照组(P<0.05)。结论:剖宫产术后子宫切口部位妊娠给予甲氨蝶呤联合米非司酮治疗,可有效提高预后,在此病的治疗方面具有一定的参考价值。
Objective: To investigate the clinical effect of conservative treatment of pregnancy in uterine incision site after cesarean section. Methods: Eighty pregnant women with uterine incision site after cesarean section were selected and randomly divided into observation group and control group. The control group was treated with methotrexate, and the observation group was given mifepristone on the basis of the control group. Statistics of two groups of patients with clinical treatment, vaginal bleeding stop time, disappearance of mass and discharge time. Results: The total effective rate of clinical observation in observation group was significantly higher than that in control group (P <0.05). The stopping time of vaginal bleeding, disappearance of mass and discharge time were significantly shorter in observation group than those in control group (P <0.05). CONCLUSION: Methotrexate and mifepristone given during pregnancy after uterine incision cesarean section can effectively improve the prognosis. It is of certain reference value in the treatment of this disease.