剖宫产切口瘢痕妊娠不同治疗方法的临床观察

目的：探讨剖宫产切口瘢痕妊娠（CSP）的不同治疗方法。方法：80例CSP患者按照随机数字表法分为观察组和对照组各40例，观察组采用甲氨蝶呤（MTX）双侧子宫动脉灌注＋双侧子宫动脉栓塞＋清宫术；对照组采用肌肉注射MTX＋清宫术，比较两组患者的治疗效果和重大并发症发生率。结果：观察组清宫术时出血量和子宫切口瘢痕血流指数均明显小于对照组，比较差异均有统计学意义（P〈0.01）；观察组的住院时间和转经时间均明显短于对照组，比较差异均有统计学意义（P〈0.05）；观察组重大并发症发生率明显低于对照组，差异有统计学意义（P〈0.01）。结论：MTX双侧子宫动脉灌注＋双侧子宫动脉栓塞＋清宫术介入治疗CSP临床效果显著。

Cesarean Section Incision Scar Pregnancy Clinical Observation of Different Treatment Methods

Objective：To explore the cesarean section incision scar pregnancy（CSP）of different treatment methods.Method：Eighty patients with CSP were randomly divided into the observation group and the control group,40 cases in each group.The observation group was treated with methotrexate（MTX）bilateral uterine artery perfusion＋bilateral uterine artery embolization and curettage cavity;The control group was treated with intramuscular injection MTX＋and curettage.The therapeutic effect of two groups and the incidence of major complications were compared.Result：The amount of bleeding and uterine incision scar arteries blood flow index in curettage of observation group were significantly less than the control group, the differences were statistically significant（P〈0.01）;Time after time and hospitalization in the observation group were lower than the control group, the differences were statistically significant（P〈0.05）;the observation group of major complications was significantly less than the control group,the difference was statistically significant（P〈0.01）.Conclusion：MTX bilateral uterine artery perfusion＋bilateral uterine artery embolization and curettage in significant clinical effect on CSP.