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目的探讨子宫下段剖宫产术后切口妊娠的诊断与治疗。方法回顾性分析本院45例剖宫产切口妊娠患者的临床资料。结果 52例均给予MTX保守治疗:24例以MTX50mg肌肉注射,并以MTX50mg于彩超监视下行胎囊腔内注药;对照组28例,20mg肌肉注射qd,共5d。比较两组的治疗效果,发现局部用药组的血β-HCG下降快,患者不良反应小。结论局部用药可减少患者用药不良反应,缩短住院时间,降低治疗费用,是值得推广的治疗方法。
Objective To investigate the diagnosis and treatment of incisional pregnancy after cesarean section under uterine segment. Methods Retrospective analysis of 45 cases of cesarean section in our hospital pregnancy clinical data. Results All the 52 patients were given MTX conservative treatment: 24 cases were injected with MTX50mg intramuscularly and MTX50mg was injected into the fetal cavity of the fetal cavity under the control of color Doppler ultrasound. In the control group, 28 cases were injected with 20mg intramuscularly for 5 days. Compare the treatment effect of the two groups, found that local drug group blood β-HCG decreased rapidly, patients with small adverse reactions. Conclusion Local administration can reduce adverse drug reactions in patients with shortened hospital stay and reduce treatment costs, is worth promoting the treatment.