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目的探讨剖宫产切口瘢痕妊娠的临床诊断、治疗。方法对鹤壁市第一人民医院2002-03-2010-01收治的53例剖宫产切口瘢痕妊娠行甲氨蝶呤(MTX)治疗、MTX栓塞介入+Foley气囊导尿管宫腔压迫、子宫病灶切除+子宫缝和修补术或子宫切除。结果根据病情不同采取上述3种治疗方法,患者均痊愈出院。无一例发生血管介入治疗后发生严重栓塞后综合征和MTX不良反应。术后将切除物送检,均符合临床诊断。结论 MTX治疗、MTX栓塞介入、Foley气囊导尿管宫腔压迫止血治疗剖宫产切口瘢痕妊娠是有效的。
Objective To investigate the clinical diagnosis and treatment of cesarean section scar pregnancy. Methods Methotrexate (MTX) treatment was performed on 53 cesarean section scar pregnancies admitted to the First People’s Hospital of Hebi City from March 2002 to October 2010 with MTX embolization and Foley balloon catheter uterine compression Resection + Uterine suture and repair or hysterectomy. Results According to the different conditions to take the above three kinds of treatment, patients were discharged. No case of serious post-embolic syndrome and MTX adverse events after vascular intervention. Postoperative resection of the submission, are in line with clinical diagnosis. Conclusion MTX treatment, MTX embolization intervention, Foley balloon catheter intrauterine compression hemostasis cesarean section scar pregnancy is effective.