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目的探讨子宫瘢痕妊娠的早期诊断和最佳治疗方法。方法选取2013年5月-2015年9月广州市天河区妇幼保健院收治的42例子宫瘢痕妊娠患者为研究对象,随机分为对照组[21例,采用甲氨蝶呤(MTX)+米非司酮保守治疗+宫腔镜电切术治疗]和观察组(21例,采用经阴道子宫瘢痕妊娠病灶切除术治疗),观察比较两组患者的治疗效果。结果 42例患者经临床诊断后均被确诊为子宫瘢痕妊娠;观察组患者的住院时间、刮宫术出血量、人血绒毛膜促性腺激素(β-hCG)水平及刮宫术前准备时间均低于对照组患者,观察组患者的治疗效果明显优于对照组患者,两组比较,差异均有统计学意义(均P<0.05)。结论采用经阴道子宫瘢痕妊娠病灶切除术治疗子宫瘢痕妊娠具有良好的治疗效果,能够帮助患者改善临床症状,并发症的发生率较小且安全性较高,有利于患者的身体恢复。
Objective To investigate the early diagnosis of uterine scar pregnancy and the best treatment. Methods Forty-two patients with uterine scar pregnancy treated in Tianhe District Maternity and Child Care Hospital of Guangzhou City from May 2013 to September 2015 were selected and randomly divided into control group (n = 21), methotrexate (MTX) Ketoconazole conservative treatment + hysteroscopic resection] and the observation group (21 cases, the treatment of transvaginal uterine scar pregnancy resection treatment), observed and compared the therapeutic effect of two groups of patients. Results 42 patients were diagnosed as uterine scar pregnancy after clinical diagnosis. The length of hospital stay, curettage bleeding, the level of β-hCG and the time before curettage were all lower in the observation group The treatment effect of the control group and the observation group was obviously better than that of the control group. There was significant difference between the two groups (P <0.05). Conclusion Transvaginal uterine scar pregnancy resection for uterine scar pregnancy has a good therapeutic effect, can help patients improve clinical symptoms, the incidence of complications is small and high safety, is conducive to the recovery of the patient’s body.