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目的探索吸宫术结合甲氨蝶呤对剖宫产瘢痕部位妊娠终止的效果。方法 60例剖宫产瘢痕部位妊娠患者,按治疗原则分为实验组与对照组,每组30例。对照组采用单纯吸宫术,实验组采用吸宫术结合甲氨蝶呤治疗,对两组患者治疗前后效果进行对比。结果实验组并发症出现情况、出血异常、瘢痕部位损伤发生率、绒毛残留继续生长量等均明显低于对照组(P<0.05)。结论对治疗剖宫产瘢痕部位妊娠患者应用吸宫术结合甲氨蝶呤疗法,治疗效果要比单纯做吸宫术方法好,临床中应当得到大力推广与使用,是一类较为理想临床治疗方法。
Objective To explore the effect of cesarean section combined with methotrexate on cesarean scar site pregnancy termination. Methods 60 cases of cesarean scar pregnancy were divided into experimental group and control group according to the principle of treatment, with 30 cases in each group. The control group with simple aspiration of the uterus, the experimental group using the combination of suction and methotrexate treatment, the two groups were compared before and after treatment. Results The incidence of complications, abnormal bleeding, the incidence of scar site injury, continued growth of fluff residues were significantly lower than those of the control group (P <0.05). Conclusion The treatment of cesarean scar pregnancy in patients with parturient treatment with methotrexate treatment, the treatment is better than a simple method of doing aspiration, and should be vigorously promoted and used in clinical practice, is a class of more ideal clinical treatment .