甲氨蝶呤局部注射联合米非司酮治疗切口妊娠的效果观察

Effect of methotrexate combined with mifepristone in the treatment of wound pregnancy

目的:回顾性分析诊断子宫切口妊娠的方法及治疗的临床效果。方法:选取收治的28例切口妊娠患者作为研究对象,妊娠囊内注射甲氨蝶呤联合米非司酮口服治疗切口妊娠,并观察治疗效果。结果:通过病史询问,血HCG检查及超声检查等诊断,且经病理送检确诊子宫切口妊娠,成功率96.4%,治疗后患者恢复效果良好。结论:切口妊娠诊断最重要的检查是超声检查,病理送检有绒毛组织是确诊方法,超声引导下妊娠囊内注射甲氨蝶呤联合米非司片酮口服治疗切口妊娠有良好疗效,值得推广。

Objective To retrospective analysis in the diagnosis of uterine incision pregnancy method and clinical effect of treatment.Method 28 cases of our hospital incision pregnancy were selected as the research object, the gestational sac injection ofmethotrexate combined therapy with oral mifepristone incision pregnancy, and the efficacy of treatment was observed.Results Through the history,the blood HCG and ultrasound diagnosis,and the pathology inspection diagnosis of uterine incisionpregnancy,success rate of 96. 4% and patients recovered after treatment effect was good. Conclusion The incision pregnancydiagnostic of the most important is ultrasound examination,fluffy organization pathology inspection are confirmed method,under theguidance of ultrasound gestational sac injection of methotrexate combined with mifepristone in the treatment of incision pregnancyhave good curative effect,it is worth promoting.