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目的 :探讨分析剖宫产瘢痕部位妊娠治疗方法的临床价值。方法 :选取2013年09月-2016年05月我院收治的80例剖宫产瘢痕部位妊娠的患者临床资料为研究对象。根据患者治疗前后血人绒毛膜促性腺激素β亚单位(β-h CG)水平以及治疗期间并发症发生情况之间的差异比较各治疗方式之间的临床效果差异。结果 :患者在术中出血量、住院时间比较中可见经腹子宫病灶切除术的患者最高,但治疗效果却是最好的。结论 :不同治疗方式在剖宫产瘢痕部位妊娠治疗中均具有较好的临床效果,治疗前后三组患者其血人绒毛膜促性腺激素β亚单位水平均明显降低,介入栓塞组患者术中出血量最少及住院时间最短,但是手术组患者临床治疗效果最好。可见各治疗方法均具有其优缺点,在临床应用中应该根据患者的病情选择最佳的治疗方法。
Objective: To investigate the clinical value of cesarean section scar pregnancy treatment. Methods: From September 2013 to May 2016, 80 patients with cesarean scar pregnancy in our hospital were selected as the study subjects. The differences in clinical outcomes between treatments were compared based on the difference in blood levels of human chorionic gonadotropin beta subunit (β-h CG) before and after treatment and the incidence of complications during treatment. Results: In patients with intraoperative blood loss, hospitalization time compared with abdominal hysterectomy patients showed the highest, but the treatment effect is the best. Conclusion: Different treatment methods have good clinical effect in the treatment of cesarean section scar pregnancy. The levels of blood human chorionic gonadotropin β subunit in the three groups before and after treatment were significantly lower than those in the embolization group The least amount and the shortest hospital stay, but the best effect of clinical treatment in patients with surgery. Shows that the treatment methods have their advantages and disadvantages, in clinical applications should be based on the patient’s condition to choose the best treatment.