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目的观察与分析剖宫产手术后子宫瘢痕妊娠的治疗方法和效果,以期提高临床疗效、促进患者及早康复。方法选取20例符合条件的剖宫产手术后子宫瘢痕妊娠患者且给予甲氨蝶呤、米非司酮联合刮宫手术的治疗方法,同时对本次治疗效果和患者恢复情况进行观察,然后将所得数据给予统计学处理且对其结果进行分析。结果 20例剖宫产手术子宫瘢痕妊娠患者在刮宫术中出血量为50~182ml、平均(115±10)ml且无大出血等不良事件发生(发生率为0)、术后β-HCG水平下降至正常时间为14~30d、平均(18±1)d;对20例患者随访后其月经复潮时间平均为(41±10)d。结论加强对剖宫产手术后子宫瘢痕妊娠的治疗分析对提高临床疗效、促进患者机体康复具有十分重要的临床价值。
Objective To observe and analyze the methods and effects of uterine scar pregnancy after cesarean section operation in order to improve clinical efficacy and promote early recovery. Methods Twenty patients who underwent cesarean section after cesarean section were selected and treated with methotrexate and mifepristone combined with curettage. The therapeutic effect and patient recovery were observed. Data were given to statistical analysis and their results were analyzed. Results Twenty patients with uterine scar pregnancy undergoing cesarean section had a mean of (115 ± 10) ml and no major bleeding during curettage (incidence of 050). The postoperative β-HCG level was decreased The mean time to menstruation was (41 ± 10) days after the follow-up of 20 patients, with a mean of (18 ± 1) days from 14 to 30 days. Conclusion Strengthening the treatment of uterine scar pregnancy after caesarean operation is of great clinical value in improving clinical efficacy and promoting the recovery of patients.