肌内注射与局部注射甲氨蝶呤联合超声引导清宫治疗子宫瘢痕妊娠的临床观察

目的:比较两种不同方法治疗子宫瘢痕妊娠的临床疗效。方法:将20例子宫瘢痕妊娠患者随机分为治疗组和对照组各10例。治疗组采用超声介入下阴道穿刺抽出囊内液,注入MTX 50 mg,对照组采用肌肉注射MTX 50 mg,隔日1次,共2次,两组均口服米非司酮50 mg,2次/d,联合B超下清宫术,对两组患者血-人绒毛膜促性腺激素(β-HCG)下降至正常时间,清宫术中出血量及住院时间进行比较。结论:超声引导下MTX局部注射联合B超下清宫术治疗子宫瘢痕妊娠的方法能明显提高临床疗效,对促进患者机体康复具有十分重要的临床价值更适合于各基层医院推广。

Clinical observation of the curettage treatment of uterine scar pregnancy by intramuscular injection and local injection of methotrexate combined with ultrasound-guided

Objective To compare the clinical efficacy of the two different treatments of uterine scar pregnancy.Method 20 cases of uterine scar pregnancy were randomly divided into treatment group and control group of 10 cases.The treatment group which puncture the cyst fluid in vaginal by interventional ultrasound,was injected MTX 50 mg;The control group was injected MTX50mg by intramuscular every other day,a total of two.Both groups had oral mifepristone 50 mg 2 times a day,curettage with B ultrasound,two groups of patientsβ-HCG of dropped to normal time,blood loss in curettage and hospital stay time were compared.Conclusion MTX local injection and curettage treatment of uterine scar pregnancy with ultrasound-guided method can significantly improve clinical effects,which has a very important clinical value for promoting the rehabilitation of patients with body,and it is suitable to promote in the basic level hospitals.