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目的 :探究剖宫产瘢痕妊娠并发大出血处理方法。方法 :选择我院自2013年9月-2016年12月收治的42例剖宫产瘢痕妊娠并发大出血患者,将其随机分为2组,对照组和观察组,每组21例,对照组患者给予病灶清除术和子宫修补术进行处理,观察组给予子宫动脉甲氨蝶呤灌注和栓塞法,对比两组患者处理效果。结果 :观察组患者月经停止时间、包块直径及出血量与对照组对比,P<0.05。结论 :对于剖宫产瘢痕妊娠并发大出血患者,为保留她们的生育要求,将出血量有效的减少,可选用子宫动脉甲氨蝶呤灌注和栓塞法进行治疗。
Objective: To explore cesarean scar pregnancy complicated with bleeding treatment. METHODS: Forty-two patients with hypertensive cesarean scar pregnancy who were treated in our hospital from September 2013 to December 2016 were randomly divided into two groups: control group and observation group, 21 cases in each group and control group The lesions were treated by debridement and uterine repair. The observation group was treated with methotrexate infusion and embolization of uterine artery, and the treatment effect was compared between the two groups. Results: The observation group patients with cessation of menstruation, mass diameter and bleeding volume compared with the control group, P <0.05. Conclusion: For cesarean scar pregnancy complicated with bleeding in patients, in order to retain their reproductive requirements, will effectively reduce the amount of bleeding, uterine artery may choose to use methotrexate perfusion and embolization for treatment.