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目的:探究剖宫产瘢痕妊娠并发大出血的临床处理方法。方法:选取2014年2月~2015年2月间我院妇产科收治的20例剖宫产瘢痕妊娠并发大出血患者作为研究对象。将患者按照随机方式分为研究组和对照组,每组患者10例,对照组采用病灶清除术和子宫修补术治疗方案。研究组采用宫动脉甲氨蝶呤灌注和栓塞法。对比观察两组患者的出血量、包块直径和月经停止时间。结果:在本次研究中,研究组患者的月经停止时间为(55.2±10.5)天,患者包块直径大小为(3.9±0.2)cm,患者出血量为(400.3±22.2)ml。与对照组相比,差异具有统计学意义(P<0.05)。结论:相比于病灶清除术和子宫修补术治疗方案,甲氨蝶呤灌注和栓塞法对于剖宫产瘢痕妊娠并发大出血患者而言,具有更高的疗效。
Objective: To investigate the clinical treatment of cesarean scar pregnancy complicated with hemorrhage. Methods: From February 2014 to February 2015 in our hospital obstetrics and gynecology admitted 20 cases of cesarean scar pregnancy complicated with bleeding as the research object. The patients were randomly divided into study group and control group, 10 patients in each group, the control group using lesion removal and uterine repair treatment. Study group using uterine artery methotrexate perfusion and embolization. Bleeding volume, mass diameter and menstrual cessation time were compared between the two groups. Results: In this study, the study group had a mean duration of menstruation of (55.2 ± 10.5) days, a diameter of (3.9 ± 0.2) cm, and a bleeding volume of (400.3 ± 22.2) ml. Compared with the control group, the difference was statistically significant (P <0.05). CONCLUSIONS: Methotrexate perfusion and embolization are more effective in patients with cesarean scar pregnancy complicated by major bleeding compared to focal and hysterectomy regimens.