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目的探讨子宫疤痕妊娠(CSP)的诊治方法,提高早期诊断率,减少不良预后。方法回顾性分析南京军区福州总院第一附属医院1a来收治的4例CSP的临床资料,均给予B超引导下妊娠囊内注射甲氨蝶呤+口服米非司酮保守治疗,动态监测血β-HCG。结果 4例CSP患者血β-HCG均明显下降,临床治愈。结论 B超引导下妊娠囊内注射甲氨蝶呤+口服米非司酮对治疗CSP疗效显著。
Objective To investigate the diagnosis and treatment of uterine scar pregnancy (CSP), improve the early diagnosis rate and reduce the adverse prognosis. Methods The clinical data of 4 cases of CSP admitted to the First Affiliated Hospital of Fuzhou General Hospital of Nanjing Military Area Command were retrospectively analyzed. Both of them were given conservative treatment with intraperitoneal injection of methotrexate and oral mifepristone under the guidance of B-ultrasonography. Dynamic monitoring of blood β-HCG. Results The serum levels of β-HCG in 4 patients with CSP were significantly decreased and clinically cured. Conclusion Intraperitoneal injection of methotrexate + oral mifepristone under the guidance of B-ultrasound has a significant effect on the treatment of CSP.