腹腔镜监护下吸宫术联合甲氨蝶呤、米非司酮治疗子宫瘢痕处妊娠的意义

Significance of laparoscopic uterine aspiration combined with MTX and mifepristone in the treatment of pregnancy in uterine scar

目的:探究腹腔镜监护下吸宫术联合甲氨蝶呤(MTX)、米非司酮治疗子宫瘢痕处妊娠的效果。方法:2017年2月-2019年2月收治子宫瘢痕位置妊娠的患者92例,随机分为两组,各46例。试验组应用腹腔镜监护下吸宫术联合MTX、米非司酮治疗;对照组应用MTX及米非司酮治疗。比较两组治疗效果。结果:试验组治疗总成功率显著高于对照组,试验组阴道流血时间、人绒毛膜促性腺激素水平下降至正常水平的时间均显著短于对照组,差异有统计学意义(P<0.05)。结论:对子宫瘢痕处妊娠的患者应用腹腔镜监护下吸宫术联合MTX、米非司酮能够提升治疗的成功率,提升患者机体恢复速度。

Objective:To explore the effect of laparoscopic uterine aspiration combined with MTX and mifepristone in the treatment of pregnancy in uterine scar.Methods:From February 2017 to February 2019,92 patients with uterine scar pregnancy were selected,they were randomly divided into the two groups with 46 cases in each group.The experimental group was treated with laparoscopic uterine aspiration combined with MTX and mifepristone.The control group was treated with MTX and mifepristone combined with methotrexate.We compared the therapeutic effect of the two groups.Results:The total success rate of treatment in the experimental group was significantly higher than that in the control group.The time for vaginal bleeding and the time for the reduction of human chorionic gonadotropin levels to normal levels in the experimental group were significantly shorter than those in the control group,the difference were statistically significant(P<0.05).Conclusion:Laparoscopic uterine aspiration combined with MTX and mifepristone can improve the success rate of treatment and the recovery speed of patients with uterine scar pregnancy.