甲氨蝶呤不同途径给药联合米非司酮治疗剖宫产后子宫切口妊娠的疗效观察

Different routes of administration of methotrexate and mifepristone treatment of uterine incision after cesarean section Efficacy of pregnancy

目的将甲氨蝶呤联合米非司酮,分为两种给药途径,观察其治疗剖宫产后子宫切口妊娠的效果。方法选取院内患者,平均分为两组,均口服米非司酮,然后一组用孕灶局部给药甲氨蝶呤,另一组用单次肌内注射给药甲氨蝶呤,观察效果。结果两种给药方式,孕灶局部给药成功率为80%,单次肌内注射给药成功率70%。结论治疗剖宫产后子宫切口妊娠,用甲氨蝶呤联合米非司酮以孕灶局部给药的疗效最好,值得在临床上推广。

Objective The methotrexate and mifepristone,is divided into two routes of administration,to observe the treatment of uterine incision after cesarean section pregnancy results.Methods A hospital patient with an average of two groups,both oral mifepristone,and then a group of local administration with methotrexate pregnant stove,another group with a single intramuscular injection of methotrexate,observe results.Results The administration,topical progesterone stove success rate was 80%, a single intramuscular injection success rate of 70%.Conclusion The treatment of uterine incision after cesarean section pregnancy with methotrexate and mifepristone for topical administration to pregnant stove best effect,worth in clinical practice.