中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
4期
772-773
,共2页
剖宫产术%子宫疤痕妊娠%甲氨蝶呤%囊内注射%肌肉注射
剖宮產術%子宮疤痕妊娠%甲氨蝶呤%囊內註射%肌肉註射
부궁산술%자궁파흔임신%갑안접령%낭내주사%기육주사
cesarean section%uterine scar pregnancy%methotrexate ( MTX)%intracapsular injection%intramuscular injection
目的 观察囊内注射甲氨蝶呤( MTX)结合肌注甲氨蝶呤治疗剖宫产后子宫疤痕妊娠的临床疗效. 方法 选择嵊州市人民医院2013年2月至2014年2月收治的60例剖宫产术后子宫疤痕妊娠患者为研究对象,将其分为两组,对照组患者给予甲氨蝶呤肌注治疗,观察组患者则行甲氨蝶呤囊内注射结合肌注治疗,对两组治疗效果、β-人绒毛膜促性腺激素(β-hCG)恢复正常时间、包块吸收时间、住院时间等情况进行比较. 结果 观察组治疗总有效率93.33%,对照组为70.00%,观察组显著高于对照组(χ2 =5.46,P<0.05). 观察组治疗后β-hCG恢复时间、包块吸收时间、月经恢复时间及住院时间均显著低于对照组( t值分别为10.77、6.18、4.09、20.30,均P<0.05). 结论 MTX囊内注射结合肌注治疗剖宫产术后子宫疤痕妊娠效果明确,值得临床推广.
目的 觀察囊內註射甲氨蝶呤( MTX)結閤肌註甲氨蝶呤治療剖宮產後子宮疤痕妊娠的臨床療效. 方法 選擇嵊州市人民醫院2013年2月至2014年2月收治的60例剖宮產術後子宮疤痕妊娠患者為研究對象,將其分為兩組,對照組患者給予甲氨蝶呤肌註治療,觀察組患者則行甲氨蝶呤囊內註射結閤肌註治療,對兩組治療效果、β-人絨毛膜促性腺激素(β-hCG)恢複正常時間、包塊吸收時間、住院時間等情況進行比較. 結果 觀察組治療總有效率93.33%,對照組為70.00%,觀察組顯著高于對照組(χ2 =5.46,P<0.05). 觀察組治療後β-hCG恢複時間、包塊吸收時間、月經恢複時間及住院時間均顯著低于對照組( t值分彆為10.77、6.18、4.09、20.30,均P<0.05). 結論 MTX囊內註射結閤肌註治療剖宮產術後子宮疤痕妊娠效果明確,值得臨床推廣.
목적 관찰낭내주사갑안접령( MTX)결합기주갑안접령치료부궁산후자궁파흔임신적림상료효. 방법 선택승주시인민의원2013년2월지2014년2월수치적60례부궁산술후자궁파흔임신환자위연구대상,장기분위량조,대조조환자급여갑안접령기주치료,관찰조환자칙행갑안접령낭내주사결합기주치료,대량조치료효과、β-인융모막촉성선격소(β-hCG)회복정상시간、포괴흡수시간、주원시간등정황진행비교. 결과 관찰조치료총유효솔93.33%,대조조위70.00%,관찰조현저고우대조조(χ2 =5.46,P<0.05). 관찰조치료후β-hCG회복시간、포괴흡수시간、월경회복시간급주원시간균현저저우대조조( t치분별위10.77、6.18、4.09、20.30,균P<0.05). 결론 MTX낭내주사결합기주치료부궁산술후자궁파흔임신효과명학,치득림상추엄.
Objective To observe the clinical efficacy of intracapsular injection of methotrexate ( MTX ) combined with intramuscular injection on the treatment of cesarean scar pregnancy.Methods From February 2013 to February 2014 60 cases of cesarean scar pregnancy admitted in People' s Hospital of Shengzhou City of Zhejiang Province were selected as subjects, and they were divided into control group and observation group.The control group was given intramuscular injection of MTX, while the observation group accepted intramuscular and intracapsular injection of MTX.The therapeutic effects, time to restore normalβ-hCG, mass absorption time and hospitalization time were compared between two groups.Results The total effective rate in the observation group (93.33%) was significantly higher than that in the control group (70.00%) (χ2 =5.46, P<0.05).The β-hCG recovery time, mass absorption time, menstrual recovery time and hospitalization time in the observation group were significantly lower than those in the control group (t value was 10.77, 6.18, 4.09 and 20.30, respectively, all P<0.05).Conclusion Intracapsular injection combined with intramuscular injection of MTX for the treatment of cesarean scar pregnancy can obtain definite efficacy, and it is worthy of clinical promotion.
