药物联合B超监视妇产科手术仪在剖宫产后瘢痕部位妊娠诊治中的作用探讨

The role of drug combined with B-ultrasonography in obstetrics and gynecology surgery in the diagnosis and treatment of postoperative cesarean section

目的 剖宫产后的子宫切口的瘢痕处妊娠的诊治水平的提高,与患者的生活质量水平的高低有非常重要的联系.当前不断降低剖宫产率,提高诊疗水平的目的就是要提高患者的生活质量.方法 采用药物联系合B超的方法,对妇产科的手术仪使用情况进行分析,对来医院进行剖宫产,并且诊治子宫切口瘢痕处妊娠的患者进行了选取,选取患者12例,进行了调研.药物包含了氨甲喋呤联合米非司酮、天花粉联合米非司酮等.诊治过程为,每日给予氨甲喋呤的深度肌肉注射和口服米非司酮或者、天花粉联合米非司酮,然后进行B超的监视,在监测下发现经过药物联合B超监视妇产科手术仪在剖宫产后瘢痕部位妊娠诊治后,包块发生了变形,并且周边的血供出现了减少和消失.血B-HCG降低正常水平.采用手术仪以及B超监视下的清宫术,经过对腹部和经阴道B超的监视后,避免了流产手术的妇产科手术引导仪的并发症的产生,降低了医疗纠纷的发生.而且实现了诊疗过程的图像实时数字记录和存储.结果 采用药物联合治疗和应用,加强B超妇产科手术仪的引导和应用,降低了剖宫产手术后的子宫切口瘢痕妊娠发生术中出血,减少了并发症的出现.结论 通过对患者的随访记录,证明这一方法在降低风险、提高患者生活质量等问题上,比较安全有效.

Objective To improve the level of diagnosis and treatment of uterine scar pregnancy after cesarean section,and has a very important relationship with the quality of life of the patients.At present,the purpose of reducing the rate of cesarean section and improving the level of diagnosis and treatment is to improve the quality of life of patients.Methodsthe drug contact ultrasound,analysis of surgical instrument for gynaecology and obstetrics usage of cesarean section to the hospital,and the diagnosis and treatment of uterine incision scar pregnancy patients were selected from 12 patients were investigated.Drugs containing methotrexate combined with mifepristone and mifepristone combined with trichosanthin etc.The diagnosis and treatment process,given daily doses of methotrexate intramuscular injection depth,mifepristone 50mg,two times a day,and then a B-knowledge,in the monitoring,found after a drug combined with gynaecology and obstetric operation type-B ultrasonic monitoring instrument in diagnosis and treatment of cesarean scar pregnancy after mass occurred in the bain line,and the surrounding the blood supply appeared to reduce and disappear.Blood B-HCG levels decreased.The operation of the instrument and the monitoring of the Qing Dynasty under ultrasound monitoring,after abdominal and vaginal B ultrasound monitoring,to avoid the abortion operation of obstetric and gynecological surgical guide device complications,reduce the occurrence of medical disputes.It also realizes the real-time digital recording and storage of the image during the diagnosis and treatment process.Resultsthe drug treatment and application,strengthen the guidance and application of ultrasound in obstetrics and gynecology surgical instrument,reduce the bleeding of uterine scar after cesarean section pregnancy,reduced complications.Conclusionthrough the follow-up of patient records,and proved that this method to reduce the risk,improve the patients quality of life etc.on the safe and effective.