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目的探讨平阳霉素联合甲氨蝶呤注射在剖宫产瘢痕妊娠临床中的应用价值。方法 110例剖宫产瘢痕妊娠患者,根据临床治疗方法不同分为观察组和对照组,各55例。对照组给予单纯甲氨蝶呤注射治疗,观察组在此基础上给予患者平阳霉素治疗,比较两组治疗效果。结果观察组治疗成功率高于对照组(P<0.05)观察组患者包块消失时间、血人绒毛膜促性腺激素(β-HCG)消失时间短于对照组(P<0.05);观察组患者住院时间、功能恢复时间短于对照组(P<0.05)。结论在剖宫产瘢痕妊娠的临床治疗中,平阳霉素联合甲氨蝶呤注射治疗能有效改善患者的临床症状,提高成功率,值得临床推广和使用。
Objective To investigate the clinical value of pingyangmycin combined with methotrexate injection in cesarean scar pregnancy. Methods One hundred and ten patients with cesarean scar pregnancy were divided into observation group and control group according to different clinical treatment methods, 55 cases each. The control group was treated with methotrexate injection alone, and the observation group was given Pingyangmycin on the basis of this treatment. The treatment effect was compared between the two groups. Results The success rate of observation group was higher than that of the control group (P <0.05). The disappearance time of mass in the observation group and the disappearance time of blood human chorionic gonadotropin (β-HCG) were shorter than those in the control group (P <0.05) The hospitalization time and functional recovery time were shorter than those in the control group (P <0.05). Conclusion In the clinical treatment of cesarean scar pregnancy, bleomycin combined with methotrexate injection can effectively improve the clinical symptoms and improve the success rate, worthy of clinical promotion and use.