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目的探讨药物保守治疗结合宫腔镜检后清宫在早期瘢痕妊娠治疗中的应用效果。方法回顾性分析本院2006年1月至2012年2月收治的23例CSP患者临床资料。结果 23例均经阴道彩色超声检查,其中明确诊断19例,误诊早期妊娠4例。4例刮宫术中或术后发生大量阴道出血伴失血性休克行全子宫切除术,6例行子宫动脉栓塞后+清宫术保留了生育功能,13例运用甲氨蝶呤(MTX)+米非司酮+宫腔镜检查后清宫术治愈。结论运用甲氨蝶呤+米非司酮保守治疗结合宫腔镜检后清宫术是安全有效的治疗方法。
Objective To investigate the effect of conservative treatment combined with hysteroscopy in the treatment of early scar pregnancy. Methods The clinical data of 23 CSP patients admitted to our hospital from January 2006 to February 2012 were retrospectively analyzed. Results 23 cases were transvaginal color ultrasound, including 19 cases of definite diagnosis, misdiagnosis of early pregnancy in 4 cases. 4 cases of curettage or postoperative massive vaginal bleeding with hemorrhagic shock line hysterectomy, 6 cases of uterine artery embolization + curettage retained fertility, 13 cases of methotrexate (MTX) + m Cholesterol + hysteroscopy cure cure. Conclusion Methotrexate + mifepristone conservative treatment combined with hysteroscopy curettage is a safe and effective treatment.