剖宫产术后子宫瘢痕妊娠的诊治方法初步研究

Preliminary Study on Diagnosis and Treatment Method of Cesarean Scar Pregnancy after Cesarean Section

目的探讨剖宫产术后子宫瘢痕妊娠的诊治方法和疗效。方法随机选取2013年1月—2016年1月该院剖宫产术后子宫瘢痕妊娠患者20例,随机分组,A组注射甲氨蝶呤+清宫术治疗,B组注射甲氨蝶呤+宫腔镜手术治疗。结果跟A组总有效率70.00%比较,B组总有效率明显较高,达到90.00%,经χ2检验行统计学处理显示治疗效果差异有统计学意义(P<0.05)。跟A组(62.51±6.38)d、(33.52±4.38)d比较,B组月经恢复时间(39.56±6.34)d、血β-HCG恢复时间(15.52±1.36)d明显较短,经t检验行统计学处理显示月经恢复时间、血β-HCG恢复时间差异有统计学意义(P<0.05)。结论剖宫产术后子宫瘢痕妊娠注射甲氨蝶呤+宫腔镜手术治疗效果确切,值得推广。

Objective To study the diagnosis and treatment method and curative effect of cesarean scar pregnancy after cesarean section.Methods 20 cases of patients with cesarean scar pregnancy after cesarean section included from January2013 to January 2016 were randomly divided into two groups,the group A were treated with injection of methotrexate and complete curettage of uterine cavity,the group B were treated with injection of methotrexate and hysteroscope operation.Results The total effective rate in the group A was obviously higher than that in the group B,（70.00% vs 90.00%）,the statistical treatment showed that the treatment effects were different by χ^2-test,P 0.05,the menstruation recovery time and serum β-HCG recovery time in the group B were obviously shorter than those in the group A,[（62.51±6.380）d,（33.52±4.38）d vs（39.56±6.34）d,（15.52±1.36）d],and the statistical treatment showed that the differences in the menstruation recovery time and serum β-HCG recovery time between the groups were obvious by χ^2-test,P〈0.05.Conclusion The effect of injection of methotrexate and hysteroscope operation in treatment of cesarean scar pregnancy after cesarean section is definite,which is worth promotion.