经阴道超声引导下介入治疗子宫瘢痕妊娠

目的 研究阴道超声引导下甲氨喋呤的局部注射对子宫瘢痕妊娠的临床疗效.方法 对30例子宫瘢痕妊娠患者进行阴道超声引导下局部注射甲氨喋呤,采用经阴道彩色多普勒超声全程监测,经阴道穿刺进入妊娠囊,以负压抽吸胎芽与囊液,然后在疤痕处或包块内予以局部注射甲氨喋呤（MTX）,对并发症及疗效进行分析.结果 30例患者全部治愈,无明显并发症及副作用.结论 超声引导下甲氨喋呤的局部注射治疗对子宫瘢痕妊娠具有良好的疗效.

TRANSVAGINAL ULTRASOUND-GUIDED INTERVENTIONAL THERAPY OF CESAREAN SCAR PREGNANCY

Objective To study the effect of local injection of methotrexate to uterine scar pregnancy guided by transvaginal uhrasonography. Methods 30 cases of uterine scar pregnancy were selected. With the whole process monitored by transvaginal color Doppler ultrasound, puncture into the cyst and negative pressure aspiration were done before local injection of methotrexate in the scar or lumps. The efficacy and complications were investigated. Results all 30 patients were cured without obvious complications and side effects. Conclusion Transvaginal uhrasound - guided methotrexate local injection therapy is an effective treatment on uterine scar pregnancy.