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目的探讨不同方法治疗子宫下段剖宫产术后瘢痕妊娠(CSP)的临床效果。方法 60例子宫下段剖宫产术后瘢痕妊娠患者,随机分为实验组和对照组,各30例。实验组患者采用甲氨蝶呤联合宫腔镜下吸宫术治疗,对照组患者采用宫腔镜下吸宫术治疗。比较两组患者的治疗效果。结果实验组患者手术时间、术中出血量少于对照组,差异有统计学意义(P<0.05);对照组住院时间短于实验组,差异有统计学意义(P<0.05)。两组患者血清人绒毛膜促性腺激素(HCG)恢复正常时间比较差异无统计学意义(P>0.05)。实验组患者手术成功率为96.7%,与对照组的93.3%比较差异无统计学意义(P>0.05)。结论甲氨蝶呤联合宫腔镜下吸宫术治疗剖宫产术后瘢痕妊娠效果显著,是一种值得推广的方法 ,但也需要根据病情作出合适的选择。
Objective To investigate the clinical effects of different methods of treatment of scar pregnancy (CSP) after cesarean section. Methods Sixty patients with lower uterine segment cesarean scar pregnancy were randomly divided into experimental group and control group, with 30 cases in each group. The patients in the experimental group were treated with methotrexate combined with hysteroscopy and the patients in the control group were treated with hysteroscopic aspiration. The treatment effect of two groups of patients was compared. Results The operation time and intraoperative blood loss in the experimental group were less than those in the control group (P <0.05). The length of stay in the control group was shorter than that in the experimental group (P <0.05). Serum human chorionic gonadotropin (HCG) recovery time was no significant difference between the two groups (P> 0.05). The successful rate of operation in experimental group was 96.7%, which was not significantly different from that in control group (93.3%) (P> 0.05). Conclusion Methotrexate and hysteroscopic treatment of cesarean scar removal after cesarean delivery has significant effect, which is worth promoting. However, it is necessary to make a suitable choice according to the condition.