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目的探讨子宫瘢痕妊娠的治疗方法。方法对38例子宫瘢痕妊娠患者采用肌注甲氨蝶呤,口服米非司酮后在B超引导下进行清宫术,观察术中术后出血情况,术后hCG下降情况。结果 38例患者经上述治疗后β-hCG下降,临床治愈。结论药物杀胚联合B超监视下行清宫术能较好地达到安全有效的保守治疗子宫瘢痕妊娠的目的。
Objective To investigate the treatment of uterine scar pregnancy. Methods Thirty-eight patients with uterine scar pregnancy were treated with methotrexate intramuscularly. After oral administration of mifepristone, the patients underwent Cesarean section undergoing B-mode ultrasonography. Postoperative bleeding and postoperative hCG decline were observed. Results 38 patients after treatment of β-hCG decreased clinical cure. Conclusions The combination of drug killing embryo and B-ultrasound surveillance of esophagectomy can achieve safe and effective conservative treatment of uterine scar pregnancy.