剖腹产瘢痕部位妊娠23例临床研究

目的探讨剖腹产瘢痕部位妊娠的治疗方法。方法回顾分析本院收治的剖腹产瘢痕部位妊娠23例。结果应用MTX等药物杀胚后等待自然排出的6例患者,住院时间平均为35.0天,3例出现大量出血,其中2例切除子宫,1例使用MTX后出现药物性肝炎需要护肝治疗;采用双侧子宫动脉栓塞术后清宫术,共17例,住院时间平均为8天,无出现大出血,子宫切除等不良后果。结论子宫动脉栓塞术后清宫术是效果稳定而且安全的方法,治疗方法的选择要根据病情和各医院的实际条件决定。

CLINCAL RESEARCH OF 23 CASES CAESAREAN SCAR PREGNANCY

Objective To discuss the treatment of cesarean scar pregnancy. Methods A retrospective analysis of 23 cases cesarean scar pregnancy admitted to our hospital. Results 6 cases of them underwent methotrexate and Mifepristone treatment, and waiting the embryos being excreted naturally from the body, the median length of hospital stay was 35 days; 3 cases had massive hemorrhage, including 2 cases of hysterectomy; One case had been detected the elevation of ALT after treated by methotrexate; The remaining 17 cases, treated with bilateral uterine artery embolization and curettage, the hospital- ization time are average of 8 days, no massive hemorrhage, hysterectomy and other adverse consequences. Conclusion Uter- ine artery embolization and curettage is stable, effective and safety therapeutic method in cesarean scar pregnancy, treatment must be selected according to the actual conditions in each hospital.