中国基层医药
中國基層醫藥
중국기층의약
Chinese Journal of Primary Medicine and Pharmacy
2015年
21期
3283-3285
,共3页
妊娠,异位%瘢痕%剖宫产术%清宫术%甲氨蝶呤%米非司酮
妊娠,異位%瘢痕%剖宮產術%清宮術%甲氨蝶呤%米非司酮
임신,이위%반흔%부궁산술%청궁술%갑안접령%미비사동
Pregnancy,ectopic%Cicatrix%Cesarean section%Curettage%Methotrexate%Mifepristone
目的：探讨甲氨蝶呤＋米非司酮超声引导下清宫术治疗内生型剖宫产后子宫瘢痕部位妊娠（CSP）的应用价值。方法分析43例采用甲氨蝶呤＋米非司酮治疗后超声引导下清宫术治疗内生型剖宫产后子宫瘢痕部位妊娠患者的临床资料。结果39例成功，4例改开腹病灶切除术，7例清宫术后出血宫腔内放置 Foley 双腔导尿管压迫止血成功。结论甲氨蝶呤＋米非司酮治疗后超声引导下清宫术治疗内生型剖宫产后子宫瘢痕部位妊娠是一种创伤小、安全、有效、治疗费用低的方法，尤其适用于基层医院应用。
目的：探討甲氨蝶呤＋米非司酮超聲引導下清宮術治療內生型剖宮產後子宮瘢痕部位妊娠（CSP）的應用價值。方法分析43例採用甲氨蝶呤＋米非司酮治療後超聲引導下清宮術治療內生型剖宮產後子宮瘢痕部位妊娠患者的臨床資料。結果39例成功，4例改開腹病竈切除術，7例清宮術後齣血宮腔內放置 Foley 雙腔導尿管壓迫止血成功。結論甲氨蝶呤＋米非司酮治療後超聲引導下清宮術治療內生型剖宮產後子宮瘢痕部位妊娠是一種創傷小、安全、有效、治療費用低的方法，尤其適用于基層醫院應用。
목적：탐토갑안접령＋미비사동초성인도하청궁술치료내생형부궁산후자궁반흔부위임신（CSP）적응용개치。방법분석43례채용갑안접령＋미비사동치료후초성인도하청궁술치료내생형부궁산후자궁반흔부위임신환자적림상자료。결과39례성공，4례개개복병조절제술，7례청궁술후출혈궁강내방치 Foley 쌍강도뇨관압박지혈성공。결론갑안접령＋미비사동치료후초성인도하청궁술치료내생형부궁산후자궁반흔부위임신시일충창상소、안전、유효、치료비용저적방법，우기괄용우기층의원응용。
Objective To study the effect of ultrasound guided curettage after methotrexate and mifepristone in the treatment of endogenous caesarean scar pregnancy.Methods A retrospective analysis was performed on 43 patients of endogenous caesarean scar pregnancy undergoing treatment of ultrasound guided curettage after methotrexate and mifepristone.Results 39 cases were successful,4 cases were transformed to laparotomy because of intraoperative blood loss,7 cases of bleeding after curettage were successful by uterine carity placed double lumina Foley catheter. Conclusion Ultrasound guided curettage after methotrexate and mifepristone is a safe,effective,little trauma and low cost method in the treatment of endogenous caesarean scar pregnancy,it especially adapts to primary hospital.
