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目的:探讨剖宫产瘢痕妊娠(CSP)并发大出血的临床处理方法及疗效。方法:回顾性分析我院2010年10月-2013年10月收治的40例剖宫产瘢痕妊娠并发大出血患者的临床资料,上述孕妇采用Foley气囊导尿管宫腔压迫联合甲氨蝶呤(MTX)+甲酰四氢叶酸(CF)方案进行治疗。结果:40例患者经过手术治疗后,均及时止血,痊愈出院。结论:Foley气囊导尿管宫腔压迫联合MTX+甲酰四氢叶酸(CF)方案治疗CSP,疗效显著,但是根治性手术应是腹腔镜、宫腔镜下进行病灶清除联合子宫缝合,子宫全切术。
Objective: To investigate the clinical treatment and curative effect of cesarean scar pregnancy (CSP) with massive hemorrhage. Methods: The clinical data of 40 patients with hypertensive cesarean scar pregnancy treated in our hospital from October 2010 to October 2013 were analyzed retrospectively. The pregnant women were treated with Foley balloon catheter combined with methotrexate (MTX ) + Leucovorin (CF) regimen. Results: After surgery, 40 patients were hemostasis timely and were discharged. Conclusion: Foley balloon catheterization of uterine cavity compression combined with MTX + leucovorin (CF) regimen in treatment of CSP has a significant effect, but radical surgery should be laparoscopy, hysteroscopic debridement combined with uterine suturing, Surgery.